| NPI | 1174608780 |
|---|---|
| Other Name | TIMOTHY & BETHANY HOUSE ICF/MR |
| Entity Type | Organization |
| Authorized Contact | MELISSA LUCY CEO/ Executive Director 434-455-7080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities (Licence: VA 088-01-001) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2022-08-03 |