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Blossom Fatima Home
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Annandale, Virginia
NPI 1740847888

Blossom Fatima Home is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Annandale, VA. Blossom Fatima Home practices in Annandale, VA. The NPI Number for Blossom Fatima Home is 1740847888 and holds a License No. (Virginia).

The current practice location address for Blossom Fatima Home is 4810 Bradford Dr, Annandale, VA and can be reached out via phone at 703-712-7390.

Location: 4810 Bradford Dr, Annandale, VA, 22003-5539
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1740847888
Provider Name
Blossom Fatima Home
Credential
Provider Entity Type
Organization
Address
4810 Bradford Dr, Annandale, VA, 22003-5539
Phone Number
703-712-7390
Fax Number
Provider Enumeration Date
05/23/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4810 Bradford Dr
City
Annandale
State
Virginia
Zip
22003-5539
Phone Number
703-712-7390
Fax Number
person
Provider Business Mailing Address Details
Address
4810 Bradford Dr
City
Annandale
State
Virginia
Zip
22003-5539
Phone Number
703-712-7390
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.
()
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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