Organization
HOPE RESIDENCE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AWAH MAWAH MUMA (DIRECT SUPPORT STAFF)
(240) 441-8553
Entity
Organization
Contact information
Practice address
14526 FULLERTON RD, WOODBRIDGE, VA 22193-2035
(240) 441-8553
Mailing address
14526 FULLERTON RD, WOODBRIDGE, VA 22193-2035
(240) 441-8553
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
09/26/2023
Last updated
09/26/2023
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