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Organization

BLESSED GROUP HOMES INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BLESS KETUM (CEO)
(240) 505-9449
Entity
Organization

Contact information

Practice address
6101 MANTLEPIECE CT, BURKE, VA 22015-3239
(703) 239-2069
Mailing address
6101 MANTLEPIECE CT, BURKE, VA 22015-3239

Taxonomy

Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility

Other

Enumeration date
11/16/2019
Last updated
11/16/2019
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