OrganizationActive
Commonwealth of Virginia State Board of Health
NPI 1992039499 · Early Intervention Provider Agency · Roanoke, VA
Provider details
- NPI number
- 1992039499
- Entity type
- Organization
- Primary specialty
- Early Intervention Provider AgencyAgencies
- Organization subpart
- No
- Authorized official
- Vivian Penn-Timity, Business Manager C(540) 283-5050
Specialties & taxonomies
Agencies
Practice location
1502 Williamson Rd Ne
2nd Floor
Roanoke, VA 24012-5130
Phone: (540) 283-5050
Fax: (540) 857-7316
Approximate (ZIP-level) locationGet directions
Mailing address
1502 Williamson Rd Ne
Roanoke, VA 24012-5130
Other names (DBA / former)
- Doing business as
- Rchd Infant and Toddler Connection of Roanoke Valley
Registry dates
- Enumerated
- 2009-09-30
- Last updated
- 2017-01-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.