Aspire To Blossom | |
2453 Mineral Springs Rd Boydton VA 23917-4404 | |
(434) 689-2113 | |
(434) 689-3328 |
Full Name | Aspire To Blossom |
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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 |
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Aspire To Blossom 2450 Mineral Springs Rd Boydton VA 23917-4404 Ph: (434) 689-2113 | Aspire To Blossom 2453 Mineral Springs Rd Boydton VA 23917-4404 Ph: (434) 689-2113 |
NPI Number | 1255493805 |
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Provider Enumeration Date | 12/13/2006 |
Last Update Date | 05/17/2024 |
Certification Date | 05/17/2024 |
Identifier | Type | State | Issuer |
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1255493805 | NPI | - | NPPES |
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