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COUNTY OF LOUDOUN, VIRGINIA

Agencies Case Management

Provider NPI: 1386753291

Organization Information:
Organization Name:  COUNTY OF LOUDOUN, VIRGINIA
Organization is Subpart
Authorized Official:  MARGARET  GRAHAM  AGENCY DIRECTOR  703-771-5406

Practice Location:
102 HERITAGE WAY NE SUITE 310 LEESBURG, VA 20176-4544 US
Tel: 703-737-8677  Fax: 703-737-8676

Business Mailing Address:
906 TRAILVIEW BLVD SE SUITE C LEESBURG, VA 20175-4415 US
Tel: 703-737-8677  Fax: 703-737-8676

NPI Information:
NPI: 1386753291
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N251B00000XAgencies
Case Management
VA143
N261QD1600XAmbulatory Health Care Facilities
Clinic/Center
VA143
N261QR0400XAmbulatory Health Care Facilities
Clinic/Center
VA143
N310500000XNursing & Custodial Care Facilities
Intermediate Care Facility, Mental Illness
VA143
N320600000XResidential Treatment Facilities
Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities
VA143
N320800000XResidential Treatment Facilities
Community Based Residential Treatment Facility, Mental Illness
VA143
N385HR2060XRespite Care Facility
Respite Care
VA143
N251C00000XAgencies
Day Training, Developmentally Disabled Services
VA143
N251S00000XAgencies
Community/Behavioral Health
VA143
N252Y00000XAgencies
Early Intervention Provider Agency
VA143
Y261QM0801XAmbulatory Health Care Facilities
Clinic/Center
VA143

Other Provider Identifiers:

IssuerNumberStateType
ANTHEM PT187220VA01
ANTHEM SLP187217VA01
004945140VA05
008743673VA05
AMERIGROUP - VIRGINIALCCBVA01
ANTHEM OT187219VA01
004980433VA05



American Medical Association 2012 taxonomy code information

Code: 261QM0801X

Type:

Classification:



Definition:



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