Individual provider · Type 1 NPI
Chudney Latisha Anderson
Intellectual and/or Developmental Disabilities Residential Treatment Facility · Hurt, VA
Practice location
16212 Rockford School Road
Hurt, VA 24563-2708
Mailing address
16212 Rockford School Rd
Hurt, VA 24563-2708
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary | 320600000X | 8561-08-011 (VA) |
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 1891572970
Chudney Latisha Anderson's National Provider Identifier is 1891572970, issued on Sep 12, 2023. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Hurt, VA. The record was last updated on Sep 12, 2023.