Individual provider · Type 1 NPI

Tionna Ferguson

Intellectual and/or Developmental Disabilities Residential Treatment Facility · Midlothian, VA

NPI number 1396457784 Active

Practice location

4401 Stigall Dr
Midlothian, VA 23112-3217

Mailing address

212 Scrimshaw Dr
Chester, VA 23836-2573

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary 320600000XNone listed

Intellectual and/or Developmental Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

About NPI 1396457784

Tionna Ferguson's National Provider Identifier is 1396457784, issued on Dec 19, 2022. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Midlothian, VA. The record was last updated on Dec 19, 2022.