Angelic Place LLC
NPI #1083126346 in Fredericksburg, Virginia
Provider Information
- NPI Number
- 1083126346
- Entity Type
- Organization
- Organization Name
- Angelic Place LLC
- Primary Specialty
- Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Oct 26, 2017
- Last Updated
- Oct 26, 2017
Practice Location
- Address
- 8108 CHERRY TREE DR
- City
- Fredericksburg
- State
- Virginia
- ZIP Code
- 22407-7344
- Phone
- (571) 494-7066
Authorized Official
- Name
- MR. EMIGDUS NKEM
- Title
- RESIDENTIAL DIRECTOR
- Phone
- (571) 494-7066
Specialties & Taxonomy Codes
| Specialty |
|---|
| Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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