Organization · Type 2 NPI

Calvary Healthcare LLC

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

NPI number 1780822254 Active

Practice location

10802 Monticello Dr
Great Falls, VA 22066-4223

Mailing address

2205 Middlefield Ct
Denville, NJ 07834-3463

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary 320600000X900-01-001 (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.

About NPI 1780822254

Calvary Healthcare LLC's National Provider Identifier is 1780822254, issued on Jan 21, 2009. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Great Falls, VA. The record was last updated on Apr 16, 2009.