Organization
SAINT COLETTA OF GREATER WASHINGTON
Active
Other names
St. Coletta Day Support Program
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA DAVIS (DIRECTOR ADULT SERVICES)
(571) 438-6940
Entity
Organization
Contact information
Practice address
207 S PEYTON ST, ALEXANDRIA, VA 22314-2812
(571) 438-6940
Mailing address
1901 INDEPENDENCE AVE SE, WASHINGTON, DC 20003-1733
(202) 350-8647
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
28002006
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
030779500
—
DC
05
—
030780200
—
DC
05
—
034788220
—
DC
Enumeration date
01/03/2008
Last updated
06/18/2008
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