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Estelle Place Llc
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Dumfries, Virginia
NPI 1922123454

Estelle Place Llc is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Dumfries, VA. Estelle Place Llc practices in Dumfries, VA. The NPI Number for Estelle Place Llc is 1922123454 and holds a License No. 755-02-006 (Virginia).

The current practice location address for Estelle Place Llc is 16206 Kings Valley Dr, Dumfries, VA and can be reached out via phone at 703-680-4428 and via fax at 703-221-9919.

Location: 16206 Kings Valley Dr, Dumfries, VA, 22026-4526
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1922123454
Provider Name
Estelle Place Llc
Credential
Provider Entity Type
Organization
Address
16206 Kings Valley Dr, Dumfries, VA, 22026-4526
Phone Number
703-680-4428
Fax Number
703-221-9919
Provider Enumeration Date
03/21/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
16206 Kings Valley Dr
City
Dumfries
State
Virginia
Zip
22025-1738
Phone Number
703-680-4428
Fax Number
703-221-9919
person
Provider Business Mailing Address Details
Address
16206 Kings Valley Dr
City
Dumfries
State
Virginia
Zip
22025-1738
Phone Number
703-680-4428
Fax Number
703-221-9919
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Day Training, Developmentally Disabled Services
Speciality
-
Taxonomy
251C00000X
License No.
755-01-001 (Virginia)
Definition
These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning.
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
755-02-006 (Virginia)
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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