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Home Away Residential Services Llc
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Woodbridge, Virginia
NPI 1164076790

Home Away Residential Services Llc is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Woodbridge, VA. Home Away Residential Services Llc practices in Woodbridge, VA. The NPI Number for Home Away Residential Services Llc is 1164076790 and holds a License No. (Virginia).

The current practice location address for Home Away Residential Services Llc is 4304 Eldorado Dr, Woodbridge, VA and can be reached out via phone at 301-807-6184 and via fax at 301-464-0225.

Location: 4304 Eldorado Dr, Woodbridge, VA, 22193-2716
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1164076790
Provider Name
Home Away Residential Services Llc
Credential
Provider Entity Type
Organization
Address
4304 Eldorado Dr, Woodbridge, VA, 22193-2716
Phone Number
301-807-6184
Fax Number
301-464-0225
Provider Enumeration Date
07/31/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4304 Eldorado Dr
City
Woodbridge
State
Virginia
Zip
22193-2716
Phone Number
301-807-6184
Fax Number
301-464-0225
person
Provider Business Mailing Address Details
Address
4304 Eldorado Dr
City
Woodbridge
State
Virginia
Zip
22193-2716
Phone Number
301-807-6184
Fax Number
301-464-0225
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
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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