Organization · Type 2 NPI

Eminent Healthcare

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

NPI number 1376372540 Active

Practice location

10560 Main St Ste 98-8
Fairfax, VA 22030-7132

Call (443) 985-5493 Map

Fax (410) 501-5140

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 1376372540

Eminent Healthcare's National Provider Identifier is 1376372540, issued on Jul 29, 2024. 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 Jul 29, 2024.