Wall Residences, LLC
NPI #1063436723 in Floyd, Virginia
Provider Information
- NPI Number
- 1063436723
- Entity Type
- Organization
- Organization Name
- Wall Residences, LLC
- Primary Specialty
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Jul 27, 2006
- Last Updated
- Aug 22, 2020
Practice Location
Authorized Official
- Name
- MR. JACK WALL
- Title
- EXECUTIVE DIRECTOR
- Phone
- (540) 745-4216
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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