Organization
T.L. & FAMILY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOWARD LESLIE MITCHELL JR. (CEO)
(276) 979-7585
Entity
Organization
Contact information
Practice address
166 SCRANTON AVE, NORTH TAZEWELL, VA 24630-9167
(276) 979-7585
Mailing address
166 SCRANTON AVE, NORTH TAZEWELL, VA 24630-9167
(276) 979-7585
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
2577-01-001
VA
Other
Enumeration date
10/29/2015
Last updated
10/29/2015
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