Cumberland Mountain Community, NPI 1609916386
Intellectual Disabilities Intermediate Care Facility in Keen Mountain, VA, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1609916386
NPI Entity Type Organization
Provider Name Cumberland Mountain Community
Doing Business As
Subpart of Organization Baxter House Icf
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address Route 696, Keen Mountain, VA, US
Provider Mailing Address Po Box 810, Cedar Bluff, VA, US, 24609
Is Sole Proprietor? No
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Organization Official

Official Name LCSW Mary F Cole
Official Position MENTAL RETARDATION DIRECTOR
Phone 276-964-6702

Primary Taxonomy

Taxonomy Code

315P00000X

Taxonomy Name Intellectual Disabilities Intermediate Care Facility
Classification

Intermediate Care Facility, Intellectual Disabilities

Group

Nursing & Custodial Care Facilities

License No. 09301001
License State VA
Description An intermediate care facility providing services for individuals with intellectual disabilities.

Other Organization Name

Baxter House ICF
Doing Business As

Business Address

Cumberland Mountain Community
Route 696

Keen Mountain, VA, US

Phone: 276-498-4549
Fax: 276-498-4194

Mailing Address

Cumberland Mountain Community
Po Box 810
Cedar Bluff, VA, US
ZIP 24609
Phone: 276-964-6702
Fax: 276-964-5669

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