institution
Providing Equal Opportunity Progressive Living Environments, Llc
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Fredericksburg, Virginia
NPI 1174782304

Providing Equal Opportunity Progressive Living Environments, Llc is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Fredericksburg, VA. Providing Equal Opportunity Progressive Living Environments, Llc practices in Fredericksburg, VA. The NPI Number for Providing Equal Opportunity Progressive Living Environments, Llc is 1174782304 and holds a License No. 112501001 (Virginia).

The current practice location address for Providing Equal Opportunity Progressive Living Environments, Llc is 10301 Kupperton Ct, Fredericksburg, VA and can be reached out via phone at 540-373-8096. You can also correspond with Providing Equal Opportunity Progressive Living Environments, Llc through the mailing address at 10301 KUPPERTON CT, FREDERICKSBURG, VA - 22408-8054 (mailing address contact number: 540-373-8096).

Location: 10301 Kupperton Ct, Fredericksburg, VA, 22408-8054
institution
Provider Profile Details
NPI Number
1174782304
Provider Name
Providing Equal Opportunity Progressive Living Environments, Llc
Credential
Provider Entity Type
Organization
Address
10301 Kupperton Ct, Fredericksburg, VA, 22408-8054
Phone Number
540-373-8096
Fax Number
Provider Enumeration Date
06/03/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
112501001 01 VA DEPARTMENT OF MENTAL HEALTH MENTAL RETARDATION AND SUBSTANCE ABUSE SERVICES
institution
Provider Business Practice Location Address Details
Address
10301 Kupperton Ct
City
State
Zip
22408-8054
Phone Number
540-373-8096
Fax Number
person
Provider Business Mailing Address Details
Address
10301 Kupperton Ct
City
State
Zip
22408-8054
Phone Number
540-373-8096
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.
112501001 (Virginia)
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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