Individual provider · Type 1 NPI
Daphne Wagner
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Salem, VA
Practice location
2010 Plum St
Salem, VA 24153-6109
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 1639074156
Daphne Wagner's National Provider Identifier is 1639074156, issued on Oct 13, 2026. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Salem, VA. The record was last updated on Oct 13, 2026.