Organization
FAIRFAX COUNTY GROUP HOMES LLC
Active
Organization
FAIRFAX COUNTY GROUP HOMES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEEPA GILL (OWNER)
(703) 209-5160
Entity
Organization
Contact information
Practice address
804 RANDOLPH ST, FALLS CHURCH, VA 22046-2811
(703) 209-5160
(571) 441-6247
Mailing address
804 RANDOLPH ST, FALLS CHURCH, VA 22046-2811
(703) 209-5160
(571) 441-6247
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
05/18/2026
Last updated
05/18/2026
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