Organization
GLEN VIEW CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIAS RAHMAN MSW (DIRECTOR)
(703) 973-9061
Entity
Organization
Contact information
Practice address
12851 MISTY LN, WOODBRIDGE, VA 22192-6431
(703) 973-9061
Mailing address
13259 FALLEN LEAF CT, WOODBRIDGE, VA 22192-4924
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
02/10/2021
Last updated
02/10/2021
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