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La Mazon Training Center Incorporated
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Woodbridge, Virginia
NPI 1649055849

La Mazon Training Center Incorporated is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Bristow, VA. La Mazon Training Center Incorporated practices in Woodbridge, VA. The NPI Number for La Mazon Training Center Incorporated is 1649055849 and holds a License No. (Virginia).

The current practice location address for La Mazon Training Center Incorporated is 1418 Idaho St, Woodbridge, VA and can be reached out via phone at 571-201-3317 and via fax at 866-985-4040.

Location: 1418 Idaho St, Woodbridge, VA, 20136-3517
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1649055849
Provider Name
La Mazon Training Center Incorporated
Credential
Provider Entity Type
Organization
Address
1418 Idaho St, Woodbridge, VA, 20136-3517
Phone Number
571-201-3317
Fax Number
866-985-4040
Provider Enumeration Date
08/28/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
1418 Idaho St
City
Woodbridge
State
Virginia
Zip
22191-3706
Phone Number
571-201-3317
Fax Number
866-985-4040
person
Provider Business Mailing Address Details
Address
1418 Idaho St
City
Woodbridge
State
Virginia
Zip
22191-3706
Phone Number
571-201-3317
Fax Number
866-985-4040
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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