Organization · Type 2 NPI

Potter's Group Home LLC

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

NPI number 1346025368 Active

Practice location

3641 Dahlgren Place
Dumfries, VA 22026-2602

Call (571) 477-8172 Map

Fax (703) 221-9746

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 1346025368

Potter's Group Home LLC's National Provider Identifier is 1346025368, issued on Aug 28, 2023. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Dumfries, VA. The record was last updated on Aug 28, 2023.