Organization
ZION RESIDENTIAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDNA FREEMAN (OWNER)
(571) 477-9206
Entity
Organization
Contact information
Practice address
5406 IVY HILL DR, FREDERICKSBURG, VA 22407-9205
(571) 477-9206
Mailing address
5406 IVY HILL DR, FREDERICKSBURG, VA 22407-9205
(571) 477-9206
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
03/28/2023
Last updated
03/28/2023
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