MS. Hallie Cornelia Thaxton, BS

NPI #1396428900 in Rustburg, Virginia

Provider Information

NPI Number: 1396428900
Entity Type: Individual
Name: MS. Hallie Cornelia Thaxton, BS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Credential: BS
Enumeration Date: Aug 9, 2023
Last Updated: Aug 9, 2023

Practice Location

Address: 389 HOMEPLACE RD
City: Rustburg
State: Virginia
ZIP Code: 24588-3792
Phone: (434) 942-2298

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary

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