Organization
B&G BLESSED HOMES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAAME GYASIWAH OSEI BRANTUO RN (RN)
(571) 343-9117
Entity
Organization
Contact information
Practice address
13885 HEDGEWOOD DR STE 317, WOODBRIDGE, VA 22193-7932
(571) 343-9117
Mailing address
7527 MINT SPRINGS CT, MANASSAS, VA 20109-5712
(571) 343-9117
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
11/09/2022
Last updated
11/09/2022
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