Organization
BRENDA'S HEALTHCARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BEATRICE FOMUNEN (DIRECTOR)
(405) 361-8957
Entity
Organization
Contact information
Practice address
3500 EAGLE RIDGE DR, WOODBRIDGE, VA 22191-6566
(405) 361-8957
Mailing address
19 OBSERVATION CT APT 304, GERMANTOWN, MD 20876-6413
(405) 361-8957
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
09/14/2023
Last updated
09/14/2023
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