Organization · Type 2 NPI

Divine Supports & Homes Inc.

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Fairfax, VA

NPI number 1114400157 Active

Practice location

13005 Maepine Ct
Fairfax, VA 22033-3130

Call (240) 413-7682 Map

Mailing address

9716 Anita Ln
Lanham, MD 20706-3307

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary 320900000XNone listed

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

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About NPI 1114400157

Divine Supports & Homes Inc.'s National Provider Identifier is 1114400157, issued on Sep 14, 2018. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Fairfax, VA. The record was last updated on Sep 14, 2018.