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SOUTHSIDE BEHAVIORAL HEALTH - HOPE HOUSE

Intermediate Care Mentally Retarded

La Crosse, Virginia

Provider NPI: 1730485905

Organization Information:
Organization Name:  SOUTHSIDE BEHAVIORAL HEALTH - HOPE HOUSE
Organization is not Subpart
Authorized Official:  ELIZABETH C ENGELHORN  EXECUTIVE DIRECTOR  434-5726916

Practice Location:
154 CHARLOTTE AVE  LA CROSSE, VA 23950 US
Tel: 434-447-4008  Fax: 434-447-4289

Business Mailing Address:
PO BOX 1478 143 INDUSTRIAL PARKWAY CLARKSVILLE, VA 23927 US
Tel: 434-572-6916  Fax: 434-374-3321

Entity Type: Organization

Taxonomy:

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









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