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Abdul Kanu
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Fredericksburg, Virginia
NPI 1649038399

Abdul Kanu is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Fredericksburg, VA. Abdul Kanu practices in Fredericksburg, VA. The NPI Number for Abdul Kanu is 1649038399 and holds a License No. (Virginia).

The current practice location address for Abdul Kanu is 9412 Birch Cliff Dr, Fredericksburg, VA and can be reached out via phone at 804-709-8964. You can also correspond with Abdul Kanu through the mailing address at 9412 BIRCH CLIFF DR, FREDERICKSBURG, VA - 22407-9223 (mailing address contact number: 804-709-8964).

Location: 9412 Birch Cliff Dr, Fredericksburg, VA, 22407-9223
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1649038399
Provider Name
Abdul Kanu
Credential
Provider Entity Type
Individual
Gender
Male
Address
9412 Birch Cliff Dr, Fredericksburg, VA, 22407-9223
Phone Number
804-709-8964
Fax Number
Provider Enumeration Date
03/07/2024
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
9412 Birch Cliff Dr
City
Fredericksburg
State
Virginia
Zip
22407-9223
Phone Number
804-709-8964
Fax Number
person
Provider Business Mailing Address Details
Address
9412 Birch Cliff Dr
City
Fredericksburg
State
Virginia
Zip
22407-9223
Phone Number
804-709-8964
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
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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