Mystic Meadow Group Home, LLC
NPI #1528347358 in Lynchburg, Virginia
Provider Information
- NPI Number
- 1528347358
- Entity Type
- Organization
- Organization Name
- Mystic Meadow Group Home, LLC
- Primary Specialty
- Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Aug 10, 2011
- Last Updated
- Aug 10, 2011
Practice Location
Authorized Official
- Name
- MRS. VALERIE A ELLIOTT
- Title
- PRESIDENT
- Phone
- (434) 847-2001
Specialties & Taxonomy Codes
| Specialty |
|---|
| Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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