Organization · Type 2 NPI

Providence Healthcare Services, LLC

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

NPI number 1427618255 Active

Practice location

8009 Gosport Ln
Springfield, VA 22151-2008

Call (202) 506-0695 Map

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary 320600000XNone listed

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 1427618255

Providence Healthcare Services, LLC's National Provider Identifier is 1427618255, issued on Jun 14, 2019. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Springfield, VA. The record was last updated on Jun 14, 2019.