NPI 1144875337
Bethel Residential Services LLC
Practice location
- Address
- 1966 Powells Landing Cir, Woodbridge, VA 22191-4440
- Phone
- (703) 371-9909
Authorised official
- Name
- Kenneth Acheampong
- Title
- Director
- Phone
- (703) 371-9909
Registered specialties
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
Registry record
- NPI
- 1144875337
- Entity type
- Organization
- NPI issued
- 5 Aug 2019
- Record last updated
- 5 Aug 2019
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.