Independent Homes, INC
NPI #1285902320 in Petersburg, Virginia
Provider Information
- NPI Number
- 1285902320
- Entity Type
- Organization
- Organization Name
- Independent Homes, INC
- Primary Specialty
- Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Dec 4, 2011
- Last Updated
- Dec 4, 2011
Practice Location
- Address
- 1816 ARCH ST
- City
- Petersburg
- State
- Virginia
- ZIP Code
- 23805-1618
- Phone
- (804) 721-1720
Authorized Official
- Name
- PASCAL THEBAUD
- Title
- EXECUTIVE DIRECTOR
- Phone
- (804) 721-1720
Specialties & Taxonomy Codes
| Specialty |
|---|
| Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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