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Peace & Grace Group Home
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Centreville, Virginia
NPI 1104600436

Peace & Grace Group Home is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Centreville, VA. Peace & Grace Group Home practices in Centreville, VA. The NPI Number for Peace & Grace Group Home is 1104600436 and holds a License No. (Virginia).

The current practice location address for Peace & Grace Group Home is 13954 Antonia Ford Ct, Centreville, VA and can be reached out via phone at 703-279-6588 and via fax at 703-279-6578.

Location: 13954 Antonia Ford Ct, Centreville, VA, 20121-3568
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1104600436
Provider Name
Peace & Grace Group Home
Credential
Provider Entity Type
Organization
Address
13954 Antonia Ford Ct, Centreville, VA, 20121-3568
Phone Number
703-279-6588
Fax Number
703-279-6578
Provider Enumeration Date
08/18/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
13954 Antonia Ford Ct
City
Centreville
State
Virginia
Zip
20121-3568
Phone Number
703-279-6588
Fax Number
703-279-6578
person
Provider Business Mailing Address Details
Address
13954 Antonia Ford Ct
City
Centreville
State
Virginia
Zip
20121-3568
Phone Number
703-279-6588
Fax Number
703-279-6578
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
()
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
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