Grace Haven Management, Inc. in Mechanicsville - Community Based Residential Treatment Facility, Mental Illness

Grace Haven Management, Inc. - NPI 1134130909

Grace Haven Management, Inc. is a Community Based Residential Treatment Facility, Mental Illness in Mechanicsville, Virginia. Grace Haven Management, Inc. practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Mental Illness. The NPI Number for Grace Haven Management, Inc. is 1134130909. The last update date is 2008-09-19.

Grace Haven Management, Inc.'s current location address is Po Box 2012, Mechanicsville, Virginia. You can contact this provider via phone number 8047792356 and fax number 8047797566. The mailing address for Grace Haven Management, Inc. is Po Box 2012, Mechanicsville, Virginia. To know further, please read the information below!

Provider Profile Detail

Provider Organization Grace Haven Management, Inc.
Address Po Box 2012, Mechanicsville, Virginia
Phone Number 8047792356
Fax Number 8047797566
Sole Proprietor --
Credentials --

Authorized Official

Title or Position CAO/PROGRA
Authorized Official Name Smith Clevert Karlyn
Telephone Number 8047792356

NPI Number Detail

NPI Number 1134130909
Provider Enumeration Date 2006-08-10
Last Updated Date 2008-09-19

Provider Mailing Address Detail

Address Po Box 2012
City Mechanicsville
State Virginia (VA)
Post Code 231160010
Phone Number 8047792356
Fax Number 8047797566

Provider's Primary Taxonomy Detail

Speciality Community Based Residential Treatment Facility, Mental Illness
Taxonomy 320800000X
Licence No SS-269-06
Definition:
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
10217245 VA --

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FAQs about Grace Haven Management, Inc.

What is the unique 10-digit identifier code issued to Grace Haven Management, Inc. by the Centers for Medicare & Medicaid Services?

The Grace Haven Management, Inc. has been assigned the NPI (National Provider Identifier) 1134130909 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you provide the complete address where Grace Haven Management, Inc. is physically located?

The Grace Haven Management, Inc. is situated at the following address: Po Box 2012, Mechanicsville, VA 231160010.

What is Grace Haven Management, Inc.'s primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Grace Haven Management, Inc. is Community Based Residential Treatment Facility, Mental Illness, and the corresponding taxonomy classification code for this specialized field is 320800000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1134130909 to Grace Haven Management, Inc.?

The Centers for Medicare & Medicaid Services originally issued the 1134130909 to Grace Haven Management, Inc. on 2006-08-10.

When was the information pertaining to Grace Haven Management, Inc. most recently updated or revised?

The details related to Grace Haven Management, Inc., including its address, specialty, and other relevant information, were last updated or revised on 2008-09-19.

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