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Woodside Healthcare
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Woodbridge, Virginia
NPI 1356796668

Woodside Healthcare is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Gaithersburg, VA. Woodside Healthcare practices in Woodbridge, VA. The NPI Number for Woodside Healthcare is 1356796668 and holds a License No. 08041139 (Virginia).

The current practice location address for Woodside Healthcare is 4309 Kenwood Dr, Woodbridge, VA and can be reached out via phone at 240-750-0045.

Location: 4309 Kenwood Dr, Woodbridge, VA, 20879-3268
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1356796668
Provider Name
Woodside Healthcare
Credential
Provider Entity Type
Organization
Address
4309 Kenwood Dr, Woodbridge, VA, 20879-3268
Phone Number
240-750-0045
Fax Number
Provider Enumeration Date
04/25/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4309 Kenwood Dr
City
Woodbridge
State
Virginia
Zip
22193-5282
Phone Number
240-750-0045
Fax Number
person
Provider Business Mailing Address Details
Address
4309 Kenwood Dr
City
Woodbridge
State
Virginia
Zip
22193-5282
Phone Number
240-750-0045
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.
08041139 (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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