Organization
PEACEFUL LIVING HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MABINTI KAMARA (DIRECTOR)
(703) 223-3911
Entity
Organization
Contact information
Practice address
6221 OSCAR CT, WOODBRIDGE, VA 22193-7024
(703) 223-3911
Mailing address
6221 OSCAR CT, WOODBRIDGE, VA 22193-7024
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
02/07/2019
Last updated
02/07/2019
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