Organization
RESPITE HOME OF VIRGINIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEEPA GILL (OWNER)
(703) 209-5160
Entity
Organization
Contact information
Practice address
13012 MAY HILL CT, FAIRFAX, VA 22033-3652
(703) 209-5160
Mailing address
415 SENECA RD, GREAT FALLS, VA 22066-1114
(703) 209-5160
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
10/11/2023
Last updated
10/11/2023
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