Whalio Doctors

NPI 1992547277

Madam Patricia Children Foundation

Organisation Intellectual and/or Developmental Disabilities Residential Treatment Facility Johnson City, TN

Practice location

Address
734 W Locust St, Johnson City, TN 37604-6504
Phone
(703) 814-6748
Fax
(571) 441-0861
Mailing address
303 Blue Ridge Ave, Front Royal, VA 22630-3005

Authorised official

Name
Rev Leonard Chukwujioke-Mbiha
Title
Healthcare Administrator
Phone
(703) 814-6748

Registered specialties (11)

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320600000X
Home Health Agency
Agencies Taxonomy 251E00000X
In Home Supportive Care Agency
Agencies Taxonomy 253Z00000X
Assisted Living Facility
Nursing & Custodial Care Facilities Taxonomy 310400000X
Assisted Living Facility (Mental Illness)
Nursing & Custodial Care Facilities Taxonomy 3104A0625X
Intellectual Disabilities Intermediate Care Facility
Nursing & Custodial Care Facilities Taxonomy 315P00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Residential Treatment Facilities Taxonomy 322D00000X
Children's Substance Abuse Rehabilitation Facility
Residential Treatment Facilities Taxonomy 3245S0500X
Child Mental Illness Respite Care
Respite Care Facility Taxonomy 385HR2055X
Child Intellectual and/or Developmental Disabilities Respite Care
Respite Care Facility Taxonomy 385HR2060X
Child Physical Disabilities Respite Care
Respite Care Facility Taxonomy 385HR2065X

Registry record

NPI
1992547277
Entity type
Organization
NPI issued
8 Jun 2024
Record last updated
8 Jun 2024

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.