Organization · Type 2 NPI

Providing Equal Opportunity Progressive Living Environments, LLC

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

NPI number 1174782304 Active

Practice location

10301 Kupperton Ct
Fredericksburg, VA 22408-8054

Call (540) 373-8096 Map

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary 320900000X112501001 (VA)

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 1174782304

Providing Equal Opportunity Progressive Living Environments, LLC's National Provider Identifier is 1174782304, issued on Jun 3, 2008. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Fredericksburg, VA. The record was last updated on Jun 3, 2008.