WALL RESIDENCES, LLC is a community based residential treatment facility, intellectual and/or developmental disabilities in Floyd, VA. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. WALL RESIDENCES, LLC NPI is 1063436723. The provider is registered as an organization entity type.
The provider's business location address is:
1281 HUCKLEBERRY RIDGE RD NE
FLOYD, VA
ZIP 24091-037
Phone: (540) 745-4216
Fax: (540) 745-5367
The provider's authorized official is Jack Wall .
The authorized official title is Executive Director and has the following contact phone number (540) 745-4216.
The CLIA number assigned to this NPI record is 49D2209372 - other - dd waiver residentials with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 7/27/2006 and was last updated on 8/22/2020.