Organization
PASSION RESIDENTIAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT N ESSIEN (ADMINSTRATOR)
(571) 241-1025
Entity
Organization
Contact information
Practice address
18416 CABIN RD, TRIANGLE, VA 22172-1407
(703) 891-2969
(703) 891-2970
Mailing address
18416 CABIN RD, TRIANGLE, VA 22172-1407
(703) 891-2969
(703) 891-2970
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
05/06/2022
Last updated
08/31/2023
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