Organization · Type 2 NPI

Home Away Residential Services LLC

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

NPI number 1164076790 Active

Practice location

4304 Eldorado Dr
Woodbridge, VA 22193-2716

Call (301) 807-6184 Map

Fax (301) 464-0225

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.

Other intellectual and/or developmental disabilities community based residential treatment facility providers in Woodbridge

See all in Woodbridge →

About NPI 1164076790

Home Away Residential Services LLC's National Provider Identifier is 1164076790, issued on Jul 31, 2019. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Woodbridge, VA. The record was last updated on Jul 31, 2019.