Organization
CORUM HUMAN SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PATRICIA A CORUM-KIDD (CEO)
(540) 336-0565
Entity
Organization
Contact information
Practice address
433 LILYS WAY, WINCHESTER, VA 22602-7686
(540) 542-1807
(540) 542-1807
Mailing address
211 FARMINGTON BLVD, WINCHESTER, VA 22602-7648
(540) 336-0565
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
11/09/2010
Last updated
11/09/2010
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