Organization · Type 2 NPI

Woodside Healthcare

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

NPI number 1356796668 Active

Practice location

4309 Kenwood Dr
Woodbridge, VA 22193-5282

Call (240) 750-0045 Map

Mailing address

1010 Southern Night Ln
Gaithersburg, MD 20879-3268

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary 320600000X08041139 (VA)

Intellectual and/or Developmental Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

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About NPI 1356796668

Woodside Healthcare's National Provider Identifier is 1356796668, issued on Apr 25, 2016. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Woodbridge, VA. The record was last updated on Apr 25, 2016.