Organization
MOUNT ROGERS COMMUNITY SERVICES
Active
Parent organization
MOUNT ROGERS COMMUNITY SERVICES
Other names
Carroll House Intermediate Care Facility
Organization subpart
Yes
Provider details
NPI number
Legal business name
MOUNT ROGERS COMMUNITY SERVICES
Authorized official
LISA B MARTIN (REIMBURSEMENT MANAGER)
(276) 223-3200
Entity
Organization
Contact information
Practice address
56 CARROLL HOUSE LN, HILLSVILLE, VA 24343-3648
(276) 728-4301
(276) 728-2415
Mailing address
770 W RIDGE RD, WYTHEVILLE, VA 24382-1187
(276) 223-3200
(276) 223-0617
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Enumeration date
06/23/2020
Last updated
06/23/2020
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