Organization
THEODORE SUPPORTIVE SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GEORGE SONKWA (PRESIDENT)
(240) 515-4424
Entity
Organization
Contact information
Practice address
3800 DANBURY CT, WOODBRIDGE, VA 22193-1919
(240) 515-4424
Mailing address
3800 DANBURY CT, WOODBRIDGE, VA 22193-1919
(240) 515-4424
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
07/18/2025
Last updated
07/18/2025
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