Camelot Of Virginia, Llc in Roanoke - Community Based Residential Treatment Facility, Mental Illness
Camelot Of Virginia, Llc - NPI 1083800593
Camelot Of Virginia, Llc is a Community Based Residential Treatment Facility, Mental Illness in Roanoke, Virginia. Camelot Of Virginia, Llc practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Mental Illness. The NPI Number for Camelot Of Virginia, Llc is 1083800593. The last update date is 2007-09-18.
Camelot Of Virginia, Llc's current location address is 1729 Patterson Ave Sw, Roanoke, Virginia. You can contact this provider via phone number 5403454533. The mailing address for Camelot Of Virginia, Llc is 1729 Patterson Ave Sw, Roanoke, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Camelot Of Virginia, Llc |
|---|---|
| Address | 1729 Patterson Ave Sw, Roanoke, Virginia |
| Phone Number | 5403454533 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | BUSINESS O |
|---|---|
| Authorized Official Name | Harcourt Grayson |
| Telephone Number | 5128589900 |
NPI Number Detail
| NPI Number | 1083800593 |
|---|---|
| Provider Enumeration Date | 2007-09-18 |
| Last Updated Date | 2007-09-18 |
Provider Mailing Address Detail
| Address | 1729 Patterson Ave Sw |
|---|---|
| City | Roanoke |
| State | Virginia (VA) |
| Post Code | 240163105 |
| Phone Number | 5403454533 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Community Based Residential Treatment Facility, Mental Illness |
|---|---|
| Taxonomy | 320800000X |
|
Definition: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
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What is the unique identification code assigned to Camelot Of Virginia, Llc by the Centers for Medicare & Medicaid Services?
The Camelot Of Virginia, Llc has been issued the NPI (National Provider Identifier) 1083800593. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Camelot Of Virginia, Llc located?
The Camelot Of Virginia, Llc is located at 1729 Patterson Ave Sw, Roanoke, VA 240163105.
What is Camelot Of Virginia, Llc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Camelot Of Virginia, Llc is Community Based Residential Treatment Facility, Mental Illness, and the taxonomy classification code that categorizes this area of expertise is 320800000X.
On what date was the 1083800593 assigned to Camelot Of Virginia, Llc?
The Camelot Of Virginia, Llc was issued its 1083800593 on 2007-09-18, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Camelot Of Virginia, Llc's details last updated?
The information pertaining to the Camelot Of Virginia, Llc, including its address, specialty, and other details, was most recently updated on 2007-09-18.