TIFFANY RUSSELL
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Active
Individual
NPI: 1437026358
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Residential Treatment Facility, Intellectual and/or Developmental Disabilities | 320600000X | Yes | 11862 (VA) |
Frequently Asked Questions
NPI 1437026358 is the National Provider Identifier for TIFFANY RUSSELL, a Residential Treatment Facility, Intellectual and/or Developmental Disabilities provider located in Dry Fork, VA. This NPI was enumerated on October 23, 2025.
TIFFANY RUSSELL practices at 6245 DRY FORK RD, Dry Fork, VA 24549.
Quick Facts
- NPI
- 1437026358
- Type
- Individual
- Enumerated
- Oct 23, 2025
- Last Updated
- Oct 24, 2025
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