Organization
SAINT COLETTA OF GREATER WASHINGTON
Active
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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