NPI 1427618255

Providence Healthcare Services, LLC

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

Practice location

Address: 8009 Gosport Ln, Springfield, VA 22151-2008
Phone: (202) 506-0695

Authorised official

Name: Constance Eni Chick Foh
Title: Director
Phone: (202) 506-0695

Registered specialties

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320600000X

Other Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Virginia →

Registry record

NPI: 1427618255
Entity type: Organization
NPI issued: 14 Jun 2019
Record last updated: 14 Jun 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.