Organization
BETHEL RESIDENTIAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH ACHEAMPONG (DIRECTOR)
(703) 371-9909
Entity
Organization
Contact information
Practice address
1966 POWELLS LANDING CIR, WOODBRIDGE, VA 22191-4440
(703) 371-9909
Mailing address
1966 POWELLS LANDING CIR, WOODBRIDGE, VA 22191-4440
(703) 371-9909
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
08/05/2019
Last updated
08/05/2019
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