Potter's Group Home LLC

NPI #1346025368 in Dumfries, Virginia

Provider Information

NPI Number: 1346025368
Entity Type: Organization
Organization Name: Potter's Group Home LLC
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Aug 28, 2023
Last Updated: Aug 28, 2023

Practice Location

Address: 3641 DAHLGREN PLACE
City: Dumfries
State: Virginia
ZIP Code: 22026-2602
Phone: (571) 477-8172

Authorized Official

Name: ABA ADUSEI
Title: CEO/PROGRAM DIRECTOR
Phone: (571) 477-8172

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary

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