Individual provider · Type 1 NPI
Hallie Cornelia Thaxton, BS
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Rustburg, VA
Practice location
389 Homeplace Rd
Rustburg, VA 24588-3792
Fax (434) 616-2377
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | None listed |
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
About NPI 1396428900
Hallie Cornelia Thaxton, BS's National Provider Identifier is 1396428900, issued on Aug 9, 2023. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Rustburg, VA. The record was last updated on Aug 9, 2023.