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SOUTHSIDE BEHAVIORAL HEALTH - BRANDON HOME

Intermediate Care Mentally Retarded

South Boston, Virginia

Provider NPI: 1912252958

Organization Information:
Organization Name:  SOUTHSIDE BEHAVIORAL HEALTH - BRANDON HOME
Organization is not Subpart
Authorized Official:  BETH  ENGELHORN  EXECUTIVE DIRECTOR  434-5726916

Practice Location:
51 POPLAR CREEK ST  SOUTH BOSTON, VA 24592 US
Tel: 434-575-7707  Fax: 434-575-7723

Business Mailing Address:
PO BOX 1478  CLARKSVILLE, VA 23927 US
Tel: 434-570-1524  Fax: 434-374-3221

Entity Type: Organization

Taxonomy:

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









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