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Organization
EVEREADY RESIDENTIAL SUPPORT SERVICES
Active
Organization
EVEREADY RESIDENTIAL SUPPORT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALEXANDER OBENG MPH (PROGRAM DIRECTOR)
(703) 496-4300
Entity
Organization
Contact information
Practice address
14240 SPRIGGS RD, WOODBRIDGE, VA 22193-3610
(703) 496-4300
(855) 256-4003
Mailing address
14240 SPRIGGS RD, WOODBRIDGE, VA 22193-3610
(703) 496-4300
(855) 256-4003
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
09/06/2019
Last updated
09/06/2019
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