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Bennett Group Home Llc
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Woodbridge, Virginia
NPI 1144910746

Bennett Group Home Llc is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Woodbridge, VA. Bennett Group Home Llc practices in Woodbridge, VA. The NPI Number for Bennett Group Home Llc is 1144910746 and holds a License No. (Virginia).

The current practice location address for Bennett Group Home Llc is 16020 Crossed Talons Rd, Woodbridge, VA and can be reached out via phone at 703-597-6529.

Location: 16020 Crossed Talons Rd, Woodbridge, VA, 22193-5797
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1144910746
Provider Name
Bennett Group Home Llc
Credential
Provider Entity Type
Organization
Address
16020 Crossed Talons Rd, Woodbridge, VA, 22193-5797
Phone Number
703-597-6529
Fax Number
Provider Enumeration Date
05/09/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
16020 Crossed Talons Rd
City
Woodbridge
State
Virginia
Zip
22193-5797
Phone Number
703-597-6529
Fax Number
person
Provider Business Mailing Address Details
Address
16020 Crossed Talons Rd
City
Woodbridge
State
Virginia
Zip
22193-5797
Phone Number
703-597-6529
Fax Number
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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