Organization
VOLUNTEERS OF AMERICA CHESAPEAKE, INC.
Active
Other names
Northern Virginia Community Living Centers
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CONNIE C PRICE M.S. (DIRECTOR OPERATIONS)
(301) 389-3166
Entity
Organization
Contact information
Practice address
12940 HARBOR VIEW DRIVE, WOODBRIDGE, VA 23462
(301) 389-3156
(301) 389-3195
Mailing address
12940 HARBOR VIEW DRIVE, WOODBRIDGE, VA 22192
(301) 389-3156
(301) 389-3166
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
175-01-001
VA
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
175-01-001
VA
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
4947941
VA
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4948149
—
VA
05
—
4948419
—
VA
Enumeration date
06/28/2006
Last updated
01/03/2013
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