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Potter's Group Home Llc
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Dumfries, Virginia
NPI 1346025368

Potter's Group Home Llc is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Dumfries, VA. Potter's Group Home Llc practices in Dumfries, VA. The NPI Number for Potter's Group Home Llc is 1346025368 and holds a License No. (Virginia).

The current practice location address for Potter's Group Home Llc is 3641 Dahlgren Place, Dumfries, VA and can be reached out via phone at 571-477-8172 and via fax at 703-221-9746.

Location: 3641 Dahlgren Place, Dumfries, VA, 22026-2602
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1346025368
Provider Name
Potter's Group Home Llc
Credential
Provider Entity Type
Organization
Address
3641 Dahlgren Place, Dumfries, VA, 22026-2602
Phone Number
571-477-8172
Fax Number
703-221-9746
Provider Enumeration Date
08/28/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
3641 Dahlgren Place
City
Dumfries
State
Virginia
Zip
22026-2602
Phone Number
571-477-8172
Fax Number
703-221-9746
person
Provider Business Mailing Address Details
Address
3641 Dahlgren Place
City
Dumfries
State
Virginia
Zip
22026-2602
Phone Number
571-477-8172
Fax Number
703-221-9746
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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