NPI 1003697392
Revamp Support Residential Services LLP
Practice location
- Address
- 2851 Headway Dr, Woodbridge, VA 22191-6042
- Phone
- (202) 820-6698
Authorised official
- Name
- Strafford Achanyi Ngosong
- Title
- Program Director
- Phone
- (202) 820-6698
Registered specialties
Developmentally Disabled Services Day Training Agency
Primary
Registry record
- NPI
- 1003697392
- Entity type
- Organization
- NPI issued
- 11 Oct 2023
- Record last updated
- 11 Oct 2023
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.