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MOUNT ROGERS COMMUNITY SERVICES

Intermediate Care Mentally Retarded

Wytheville, Virginia

Provider NPI: 1871123729

Organization Information:
Organization Name:  MOUNT ROGERS COMMUNITY SERVICES
Organization is not Subpart
Authorized Official:  LISA B MARTIN  REIMBURSEMENT MANAGER  276-2233200

Practice Location:
795 FAIRVIEW RD  WYTHEVILLE, VA 24382 US
Tel: 276-223-3200  Fax: 276-223-0617

Business Mailing Address:
770 W RIDGE RD  WYTHEVILLE, VA 24382 US
Tel: 276-223-3200  Fax: 276-223-0617

Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y315P00000XNursing & Custodial Care Facilities
Intermediate Care Facility, Mentally Retarded









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