Organization
ONE PURPOSE VA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRAVIS RAINEY (EXECUTIVE DIRECTOR)
(678) 502-8954
Entity
Organization
Contact information
Practice address
5428 ADDISON GATE DR, NORTH CHESTERFIELD, VA 23234-5978
(678) 502-8954
Mailing address
5428 ADDISON GATE DR, NORTH CHESTERFIELD, VA 23234-5978
(678) 502-8954
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
02/25/2025
Last updated
02/25/2025
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