Organization
JEWISH FOUNDATION FOR GROUP HOMES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VIVIAN G BASS (CEO)
(301) 984-3839
Entity
Organization
Contact information
Practice address
2511 FREETOWN DR, RESTON, VA 20191-2513
(703) 453-0445
(703) 453-0447
Mailing address
6010 EXECUTIVE BLVD, SUITE 800, ROCKVILLE, MD 20852-3809
(301) 984-3839
(301) 984-4219
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
317-01-001
VA
Other
Enumeration date
12/01/2006
Last updated
08/22/2020
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