Organization
MILESTONE GROUP HOMES & NURSING
Active
Other names
MILESTONE GROUP HOMES
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PATRICE T. NOUWEZEM (PRESIDENT)
70386911220
Entity
Organization
Contact information
Practice address
9014 ORANGE HUNT LN, ANNANDALE, VA 22003-4126
(703) 869-1120
(187) 725-2103
Mailing address
9014 ORANGE HUNT LN, ANNANDALE, VA 22003-4126
(703) 869-1120
(187) 725-2103
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
2573
VA
Other
Enumeration date
04/27/2017
Last updated
04/27/2017
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