institution
Divine Supports & Homes Inc.
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Fairfax, Virginia
NPI 1114400157

Divine Supports & Homes Inc. is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Lanham, VA. Divine Supports & Homes Inc. practices in Fairfax, VA. The NPI Number for Divine Supports & Homes Inc. is 1114400157 and holds a License No. (Virginia).

The current practice location address for Divine Supports & Homes Inc. is 13005 Maepine Ct, Fairfax, VA and can be reached out via phone at 240-413-7682.

Location: 13005 Maepine Ct, Fairfax, VA, 20706-3307
institution
Provider Profile Details
NPI Number
1114400157
Provider Name
Divine Supports & Homes Inc.
Credential
Provider Entity Type
Organization
Address
13005 Maepine Ct, Fairfax, VA, 20706-3307
Phone Number
240-413-7682
Fax Number
Provider Enumeration Date
09/14/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
13005 Maepine Ct
City
State
Zip
22033-3130
Phone Number
240-413-7682
Fax Number
person
Provider Business Mailing Address Details
Address
13005 Maepine Ct
City
State
Zip
22033-3130
Phone Number
240-413-7682
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
License No.
()
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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