Organization
JENNIFER FOUNDATION INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARY OBI (DIRECTOR)
(301) 326-8780
Entity
Organization
Contact information
Practice address
8815 VICTORIA RD, SPRINGFIELD, VA 22151-1132
(301) 326-8780
Mailing address
8815 VICTORIA RD, SPRINGFIELD, VA 22151-1132
(301) 326-8780
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
08/21/2019
Last updated
08/21/2019
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