NPI 1053721381

Raven's Nest LLC

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Chase City, VA

Practice location

Address: 1247 Fort Mitchell Dr, Chase City, VA 23924-5340
Phone: (434) 738-8493

Authorised official

Name: Raven Jackson
Title: Director
Phone: (434) 210-0343

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320900000X Licence 2181 (VA)

Other Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Virginia →

Registry record

NPI: 1053721381
Entity type: Organization
NPI issued: 8 May 2014
Record last updated: 8 May 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.