Grand Anne Residences, LLC
NPI #1568702256 in Buena Vista, Virginia
Provider Information
- NPI Number
- 1568702256
- Entity Type
- Organization
- Organization Name
- Grand Anne Residences, LLC
- Primary Specialty
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Feb 18, 2013
- Last Updated
- Feb 18, 2013
Practice Location
- Address
- 2104 WALNUT AVE
- City
- Buena Vista
- State
- Virginia
- ZIP Code
- 24416-2738
- Phone
- (540) 261-2222
Authorized Official
- Name
- MS. DEBORAH Z SHAFER, QRMP
- Title
- EXECUTIVE DIRECTOR
- Phone
- (540) 261-2222
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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