Organization
CIONE MCQUEEN RESIDENCES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS CIONE (ADMINISTRATOR)
(716) 949-2204
Entity
Organization
Contact information
Practice address
208 CARDINAL CT, STANARDSVILLE, VA 22973-2902
(716) 949-2204
(434) 381-4294
Mailing address
208 CARDINAL CT, STANARDSVILLE, VA 22973-2902
(716) 949-2204
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3512
—
VA
Enumeration date
03/12/2020
Last updated
03/12/2020
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