NPI 1144910746
Bennett Group Home LLC
Practice location
- Address
- 16020 Crossed Talons Rd, Woodbridge, VA 22193-5797
- Phone
- (703) 597-6529
Authorised official
- Name
- Abena Fynn Swatson
- Title
- Administrator
- Phone
- (703) 597-6529
Registered specialties
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
Registry record
- NPI
- 1144910746
- Entity type
- Organization
- NPI issued
- 9 May 2023
- Record last updated
- 9 May 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.