Organization
HARVEST OUTREACH CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY FOSTER (ADMINISTRATIVE ASSISTANT)
(434) 283-3679
Entity
Organization
Contact information
Practice address
410 MADDOX RD, GLADYS, VA 24554-3030
(434) 283-5340
Mailing address
410 MADDOX RD, GLADYS, VA 24554-3030
(434) 283-5340
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
1205
VA
Other
Enumeration date
08/15/2008
Last updated
08/15/2008
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