Organization · Type 2 NPI
Mystic Meadow Group Home, LLC
Intellectual and/or Developmental Disabilities Residential Treatment Facility · Lynchburg, VA
Practice location
2157 Campbell Ave
Lynchburg, VA 24501-6405
Fax (434) 847-2022
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary | 320600000X | None 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.
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About NPI 1528347358
Mystic Meadow Group Home, LLC's National Provider Identifier is 1528347358, issued on Aug 10, 2011. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Lynchburg, VA. The record was last updated on Aug 10, 2011.