Individual
CHUDNEY LATISHA ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16212 ROCKFORD SCHOOL ROAD, HURT, VA 24563-2708
(434) 856-2893
Mailing address
16212 ROCKFORD SCHOOL RD, HURT, VA 24563-2708
(434) 856-2893
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
8561-08-011
VA
Other
Enumeration date
09/12/2023
Last updated
09/12/2023
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