Carolyn Elaine Beverly
Carolyn Elaine Beverly is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Glasgow, Virginia. Practices as a sole proprietor. Licensed in Virginia.
- Licensed in
- VA
- In the registry since
- 2015
Practice location Address checks out
716 Fitzlee StGlasgow, VA 24555-2530
Phone: (540) 258-1098
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Specialties & licences
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) | Taxonomy 320900000X · Licence 2469-01-001 (VA) |
|---|
Record details
| NPI number | 1356715197 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | November 17, 2015 |
| Last updated in NPPES | November 17, 2015 |
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Building Bridges Group Home, LLC
716 Fitzlee St, Glasgow, VA 24555-2530 · (540) 258-1098