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Destiny Place Llc
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Woodbridge, Virginia
NPI 1346398914

Destiny Place Llc is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Dumfries, VA. Destiny Place Llc practices in Woodbridge, VA. The NPI Number for Destiny Place Llc is 1346398914 and holds a License No. 570 (Virginia).

The current practice location address for Destiny Place Llc is 5319 Sentry Ln, Woodbridge, VA and can be reached out via phone at 703-371-3421. You can also correspond with Destiny Place Llc through the mailing address at 17964 SWANS CREEK LN, DUMFRIES, VA - 22026-4526 (mailing address contact number: 703-371-3421).

Location: 5319 Sentry Ln, Woodbridge, VA, 22026-4526
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1346398914
Provider Name
Destiny Place Llc
Credential
Provider Entity Type
Organization
Address
5319 Sentry Ln, Woodbridge, VA, 22026-4526
Phone Number
703-371-3421
Fax Number
Provider Enumeration Date
01/08/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
5319 Sentry Ln
City
Woodbridge
State
Virginia
Zip
22193-3431
Phone Number
703-371-3421
Fax Number
person
Provider Business Mailing Address Details
Address
17964 Swans Creek Ln
City
Dumfries
State
Virginia
Zip
22026-4526
Phone Number
703-371-3421
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Day Training, Developmentally Disabled Services
Speciality
-
Taxonomy
251C00000X
License No.
570 (Virginia)
Definition
These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning.
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
570 (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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