Providence Healthcare Services, LLC
NPI #1427618255 in Springfield, Virginia
Provider Information
- NPI Number
- 1427618255
- Entity Type
- Organization
- Organization Name
- Providence Healthcare Services, LLC
- Primary Specialty
- Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Jun 14, 2019
- Last Updated
- Jun 14, 2019
Practice Location
- Address
- 8009 GOSPORT LN
- City
- Springfield
- State
- Virginia
- ZIP Code
- 22151-2008
- Phone
- (202) 506-0695
Authorized Official
- Name
- CONSTANCE ENI CHICK FOH
- Title
- DIRECTOR
- Phone
- (202) 506-0695
Specialties & Taxonomy Codes
| Specialty |
|---|
| Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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