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Mr. Jean Sylvain Ateba Ondoua
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Manassas Park, Virginia
NPI 1760104863

Jean Sylvain Ateba Ondoua is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Manassas Park, VA. Jean Sylvain Ateba Ondoua practices in Manassas Park, VA. The NPI Number for Jean Sylvain Ateba Ondoua is 1760104863 and holds a License No. 3567 (Virginia).

The current practice location address for Jean Sylvain Ateba Ondoua is 9229 Matthew Dr, Manassas Park, VA and can be reached out via phone at 240-423-4691 and via fax at 443-773-1367.

Location: 9229 Matthew Dr, Manassas Park, VA, 20111-2451
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1760104863
Provider Name
Jean Sylvain Ateba Ondoua
Credential
Provider Entity Type
Individual
Gender
Male
Address
9229 Matthew Dr, Manassas Park, VA, 20111-2451
Phone Number
240-423-4691
Fax Number
443-773-1367
Provider Enumeration Date
09/15/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
9229 Matthew Dr
City
Manassas Park
State
Virginia
Zip
20111-2451
Phone Number
240-423-4691
Fax Number
443-773-1367
person
Provider Business Mailing Address Details
Address
9229 Matthew Dr
City
Manassas Park
State
Virginia
Zip
20111-2451
Phone Number
240-423-4691
Fax Number
443-773-1367
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
3567 (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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