Organization
CORUM HUMAN SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PATRICIA ANN CORUM-KIDD (OWNER)
(540) 662-3438
Entity
Organization
Contact information
Practice address
433 LILYS WAY, WINCHESTER, VA 22602-7686
(540) 662-3438
(540) 542-1807
Mailing address
211 FARMINGTON BLVD, WINCHESTER, VA 22602-7648
(540) 662-3438
(540) 542-1807
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
1712-01-001
VA
Other
Enumeration date
05/02/2014
Last updated
05/02/2014
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