Organization
ROSA VILLOSA RESIDENTIAL HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSEMOND DANKWAH (PROGRAM DIRECTOR)
(571) 275-8914
Entity
Organization
Contact information
Practice address
2 BROOKSTONE DR, FREDERICKSBURG, VA 22405-2794
(571) 275-8914
Mailing address
105 CATES LN, STAFFORD, VA 22554-3364
(571) 275-8991
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
03/11/2024
Last updated
10/21/2024
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