Organization
ALL IN ALL RESIDENTIAL SERVICES
Active
Other names
Grace Healthcare Services
Organization subpart
No
Provider details
NPI number
Authorized official
BRIDGET NKUMBE (DIRECTOR)
(703) 278-2475
Entity
Organization
Contact information
Practice address
4211 DALE BLVD, WOODBRIDGE, VA 22193-2243
(703) 278-2475
Mailing address
4211 DALE BLVD, WOODBRIDGE, VA 22193-2243
(703) 278-2475
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Enumeration date
06/12/2019
Last updated
10/07/2024
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