Provider Demographics
NPI:1619537990
Name:RONALD MCDONALD HOUSE CHARITIES OF SOUTHWEST VIRGINIA
Entity Type:Organization
Organization Name:RONALD MCDONALD HOUSE CHARITIES OF SOUTHWEST VIRGINIA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:SEMONCO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:540-857-0770
Mailing Address - Street 1:2224 JEFFERSON ST SE
Mailing Address - Street 2:
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24014-2404
Mailing Address - Country:US
Mailing Address - Phone:540-857-0770
Mailing Address - Fax:
Practice Address - Street 1:2224 JEFFERSON ST SE
Practice Address - Street 2:
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24014-2404
Practice Address - Country:US
Practice Address - Phone:540-857-0770
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-18
Last Update Date:2019-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes177F00000XOther Service ProvidersLodging