Organization
BLISSFUL YEARS GROUP HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SELINA BONNEY RN (ADMINISTRATOR)
(703) 994-5499
Entity
Organization
Contact information
Practice address
2315 BATTERY HILL CIR, WOODBRIDGE, VA 22191-6530
(703) 994-5499
Mailing address
2315 BATTERY HILL CIR, WOODBRIDGE, VA 22191-6530
(703) 994-5499
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
03/07/2023
Last updated
03/07/2023
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