OrganizationActive
Southside Virginia Training Center
NPI 1154330942 · Intellectual Disabilities Intermediate Care Facility · Petersburg, VA
Provider details
- NPI number
- 1154330942
- Entity type
- Organization
- Primary specialty
- Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- John Holland, Facility Director(804) 524-7209
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
26317 West Washington Street
Petersburg, VA 23803
Phone: (804) 524-7209
Fax: (804) 524-7228
Approximate (ZIP-level) locationGet directions
Mailing address
26317 West Washington Street
Petersburg, VA 23803
Registry dates
- Enumerated
- 2006-08-08
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.