Organization
SAFE MANOR CARE LLC
Active
Other names
SAFE MANOR CARE LLC
Organization subpart
No
Provider details
NPI number
Authorized official
ION STINCA (PROGRAM MANAGER)
(571) 404-9059
Entity
Organization
Contact information
Practice address
8502 CLEARRIDGE LN, MANASSAS, VA 20110-5887
(571) 404-9059
Mailing address
8502 CLEARRIDGE LN, MANASSAS, VA 20110-5887
(571) 404-9059
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
310400000X
Assisted Living Facility
—
—
3104A0625X
Assisted Living Facility (Mental Illness)
—
—
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
—
—
310500000X
Mental Illness Intermediate Care Facility
—
—
311500000X
Alzheimer Center (Dementia Center)
—
—
315P00000X
Intellectual Disabilities Intermediate Care Facility
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
323P00000X
Psychiatric Residential Treatment Facility
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
347E00000X
Transportation Broker
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
10/02/2023
Last updated
10/05/2023
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