NPI 1083126346

Angelic Place LLC

Organisation Intellectual and/or Developmental Disabilities Residential Treatment Facility Fredericksburg, VA

Practice location

Address: 8108 Cherry Tree Dr, Fredericksburg, VA 22407-7344
Phone: (571) 494-7066
Fax: (571) 494-7066
Mailing address: 5500 Silver Maple Ln, Fredericksburg, VA 22407-9357

Authorised official

Name: Emigdus Nkem
Title: Residential Director
Phone: (571) 494-7066

Registered specialties

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320600000X

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Registry record

NPI: 1083126346
Entity type: Organization
NPI issued: 26 Oct 2017
Record last updated: 26 Oct 2017

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.