Organization
PROVIDING EQUAL OPPORTUNITY PROGRESSIVE LIVING ENVIRONMENTS, LLC
Active
Other names
P.E.O.P.L.E., LLC (acronymn for company name)
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JUSTIN DAMERON (OWNER/DIRECTOR OF FINANCE)
(540) 373-8096
Entity
Organization
Contact information
Practice address
10301 KUPPERTON CT, FREDERICKSBURG, VA 22408-8054
(540) 373-8096
Mailing address
10301 KUPPERTON CT, FREDERICKSBURG, VA 22408-8054
(540) 373-8096
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
112501001
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
112501001
DEPARTMENT OF MENTAL HEALTH MENTAL RETARDATION AND SUBSTANCE ABUSE SERVICES
VA
Enumeration date
06/03/2008
Last updated
06/03/2008
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