Organization
HAYNESVIEW LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LABRENDA HURST HAYNES BS RN (CEO)
(703) 398-9840
Entity
Organization
Contact information
Practice address
4502 HANOVER CT, WOODBRIDGE, VA 22193-4712
(703) 398-9840
(703) 580-1725
Mailing address
6215 ALISTAIR DR, MANASSAS, VA 20112-3460
(703) 398-9840
(703) 580-1725
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
860
VA
251C00000X
Developmentally Disabled Services Day Training Agency
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Other
Enumeration date
01/08/2007
Last updated
08/22/2020
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