| Palmer Springs Group Home Inc | |
|
2453 Mineral Springs Rd Boydton VA 23917-4404 | |
| (434) 689-2113 | |
| (434) 689-3328 |
| Full Name | Palmer Springs Group Home Inc |
|---|---|
| Speciality | Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
| Location | 2453 Mineral Springs Rd, Boydton, Virginia |
| Authorized Official Name and Position | Adrian M Kittrell (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4346892113 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Palmer Springs Group Home Inc 2450 Mineral Springs Rd Boydton VA 23917-4404 Ph: (434) 689-2113 | Palmer Springs Group Home Inc 2453 Mineral Springs Rd Boydton VA 23917-4404 Ph: (434) 689-2113 |
| NPI Number | 1255493805 |
|---|---|
| Provider Enumeration Date | 12/13/2006 |
| Last Update Date | 05/17/2024 |
| Certification Date | 05/17/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255493805 | NPI | - | NPPES |
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