Healthcare Provider Details

I. General information

NPI: 1922057298
Provider Name (Legal Business Name): SOUTHWESTERN VIRGINIA TRAINING CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/06/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

160 TRAINING CENTER RD
HILLSVILLE VA
24343-7328
US

IV. Provider business mailing address

PO BOX 1328
HILLSVILLE VA
24343-7328
US

V. Phone/Fax

Practice location:
  • Phone: 276-728-3121
  • Fax: 276-728-1103
Mailing address:
  • Phone: 276-728-3121
  • Fax: 276-728-1103

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code315P00000X
TaxonomyIntellectual Disabilities Intermediate Care Facility
License Number
License Number State

VIII. Authorized Official

Name: DR. ALLEN DALE WOODS
Title or Position: DIRECTOR
Credential: ED D
Phone: 276-728-1125