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1st Promise Residential Services, LLC

NPI #1376202051 in Manassas, Virginia

Provider Information

NPI Number
1376202051
Entity Type
Organization
Organization Name
1st Promise Residential Services, LLC
Primary Specialty
Day Training, Developmentally Disabled Services
Enumeration Date
Dec 10, 2021
Last Updated
Dec 10, 2021

Practice Location

Address
10127 WOODBURY DR APT 512
City
Manassas
State
Virginia
ZIP Code
20109-3781
Phone
(571) 278-1273

Authorized Official

Name
FERDINAND ATABONGAWUNG
Title
OWNER
Phone
(571) 278-1273

Specialties & Taxonomy Codes

Specialty
Day Training, Developmentally Disabled Services

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