NPI 1063436723

Wall Residences, LLC

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

Practice location

Address: 1281 Huckleberry Ridge Rd NE, Floyd, VA 24091-2037
Phone: (540) 745-4216
Fax: (540) 745-5367

Authorised official

Name: Jack Wall
Title: Executive Director
Phone: (540) 745-4216

Registered specialties

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

Residential Treatment Facilities Taxonomy 320900000X Licence 071-01-001 (VA)

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

Registry record

NPI: 1063436723
Entity type: Organization
NPI issued: 27 Jul 2006
Record last updated: 22 Aug 2020

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.