Organization
INFANT AND TODDLER CONNECTION OF THE HEARTLAND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL KEN COPELAND (VP, ADMIN & FINANCE & CBO)
(434) 395-2016
Entity
Organization
Contact information
Practice address
315 WEST THIRD STREET, FARMVILLE, VA 23901
(434) 395-2967
Mailing address
PO BOX 197, FARMVILLE, VA 23901
(434) 395-2967
(434) 395-2969
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/21/2017
Last updated
09/21/2017
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