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Provident Arc Llc
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Woodbridge, Virginia
NPI 1285957761

Provident Arc Llc is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Woodbridge, VA. Provident Arc Llc practices in Woodbridge, VA. The NPI Number for Provident Arc Llc is 1285957761 and holds a License No. 954 (Virginia).

The current practice location address for Provident Arc Llc is 17300 River Ridge Blvd, Woodbridge, VA and can be reached out via phone at 703-861-4409.

Location: 17300 River Ridge Blvd, Woodbridge, VA, 22191-5167
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1285957761
Provider Name
Provident Arc Llc
Credential
Provider Entity Type
Organization
Address
17300 River Ridge Blvd, Woodbridge, VA, 22191-5167
Phone Number
703-861-4409
Fax Number
Provider Enumeration Date
03/11/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
17300 River Ridge Blvd
City
Woodbridge
State
Virginia
Zip
22191-5167
Phone Number
703-861-4409
Fax Number
person
Provider Business Mailing Address Details
Address
17300 River Ridge Blvd
City
Woodbridge
State
Virginia
Zip
22191-5167
Phone Number
703-861-4409
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.
954 (Virginia)
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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