Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CHUDNEY LATISHA ANDERSON
Active Sole ProprietorIntellectual Disabilities Residential Treatment Facility · HURT, VA
Registration Details
- NPI Number
- 1891572970
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 12, 2023 (2.607149447356 yrs)
- Last Updated
- Sep 12, 2023
- License
-
8561-08-011 (VA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
16212 ROCKFORD SCHOOL ROADHURT, VA, 245632708Browse VA providers · Browse ZIP 24563
- Phone
- 4348562893
- Primary Specialty
-
Intellectual Disabilities Residential Treatment Facility
320600000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.