Organization
ESTELLE PLACE LLC
Active
Other names
Our Place One
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBORAH C ROUNDTREE MA (CEO)
(703) 221-9929
Entity
Organization
Contact information
Practice address
16206 KINGS VALLEY DR, DUMFRIES, VA 22025-1738
(703) 680-4428
(703) 221-9919
Mailing address
17964 SWANS CREEK LN, DUMFRIES, VA 22026-4526
(703) 221-9929
(703) 221-9919
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
755-02-006
VA
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
755-01-001
VA
Other
Enumeration date
03/21/2007
Last updated
09/11/2025
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