Organization
1ST PROMISE RESIDENTIAL SERVICES, LLC
Active
Organization
1ST PROMISE RESIDENTIAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FERDINAND ATABONGAWUNG (OWNER)
(571) 278-1273
Entity
Organization
Contact information
Practice address
10127 WOODBURY DR APT 512, MANASSAS, VA 20109-3781
(571) 278-1273
Mailing address
10127 WOODBURY DR APT 512, MANASSAS, VA 20109-3781
(571) 278-1273
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3979
—
VA
Enumeration date
12/10/2021
Last updated
12/10/2021
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up