| Miahs House Llc | |
|
85 Joggers Trl Cumberland VA 23040-2610 | |
| (804) 221-2571 | |
| Not Available |
| Full Name | Miahs House Llc |
|---|---|
| Speciality | Counselor |
| Location | 85 Joggers Trl, Cumberland, Virginia |
| Authorized Official Name and Position | Sandy Brown (RESIDENTIAL SUPERVISOR) |
| Authorized Official Contact | 8042212571 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Miahs House Llc 85 Joggers Trl Cumberland VA 23040-2610 Ph: (804) 221-2571 | Miahs House Llc 85 Joggers Trl Cumberland VA 23040-2610 Ph: (804) 221-2571 |
| NPI Number | 1639562655 |
|---|---|
| Provider Enumeration Date | 03/16/2015 |
| Last Update Date | 03/16/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639562655 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 982 (Virginia) | Primary |
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