Organization
JEWISH FOUNDATION FOR GROUP HOMES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELE LIZEAR (DIRECTOR OF BUSINESS OFFICE)
(240) 283-6013
Entity
Organization
Contact information
Practice address
2511 FREETOWN DR, RESTON, VA 20191-2513
(703) 453-0445
(703) 453-0447
Mailing address
6101 EXECUTIVE BLVD STE 100, ROCKVILLE, MD 20852-3938
(240) 283-6000
(240) 715-9137
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
317-01-001
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004948483
—
VA
05
—
0165807162
—
VA
05
—
0165807592
—
VA
Enumeration date
12/01/2006
Last updated
05/29/2026
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