Organization · Type 2 NPI
Hettie's Haven,llc
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Coeburn, VA
Practice location
12108 Retford Rd
Coeburn, VA 24230-5910
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | 2839-01-001 (VA) |
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 1740705177
Hettie's Haven,llc's National Provider Identifier is 1740705177, issued on Aug 7, 2017. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Coeburn, VA. The record was last updated on Jul 21, 2022.