Organization
DREAMSVILLE RESIDENTIAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAHEL TAYE WOLDESMAYAT (PROGRAM MANAGER/ QDDP)
(571) 232-9179
Entity
Organization
Contact information
Practice address
3656 STONEWALL MANOR DR, TRIANGLE, VA 22172-1431
(571) 232-9172
Mailing address
3656 STONEWALL MANOR DR, TRIANGLE, VA 22172-1431
(571) 232-9172
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
06/06/2023
Last updated
06/06/2023
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