SearchVirginiaIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

Carolyn Beverly

NPI 1356715197 · on the registry since 2015 · sole proprietor

Practice

Address
716 Fitzlee St
Glasgow, VA 24555
Phone
(540) 258-1098
Organisation at this address
Building Bridges Group Home, Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
320900000X
Licence states on file
VA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2015-11-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia