Organization
THURMAN RESIDENTIAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CORETTA LATONYA THURMAN (OWNER)
(540) 570-2999
Entity
Organization
Contact information
Practice address
2575 HAWTHORNE AVE, BUENA VISTA, VA 24416-1830
(540) 570-2999
(540) 572-2583
Mailing address
2575 HAWTHORNE AVE, BUENA VISTA, VA 24416-1830
(540) 570-2999
(540) 572-2583
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
08/22/2023
Last updated
08/22/2023
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