Estelle Place Llc in Dumfries - Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Estelle Place Llc - NPI 1023133899
Estelle Place Llc is a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Dumfries, Virginia. Estelle Place Llc practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Estelle Place Llc is 1023133899. The last update date is 2020-08-22.
Estelle Place Llc's current location address is 17964 Swans Creek Ln, Dumfries, Virginia. You can contact this provider via phone number 7032219929 and fax number 7032219919. The mailing address for Estelle Place Llc is 17964 Swans Creek Ln, Dumfries, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Estelle Place Llc |
|---|---|
| Address | 17964 Swans Creek Ln, Dumfries, Virginia |
| Phone Number | 7032219929 |
| Fax Number | 7032219919 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Roundtree C Deborah |
| Credentials | MA |
| Telephone Number | 7032219929 |
NPI Number Detail
| NPI Number | 1023133899 |
|---|---|
| Provider Enumeration Date | 2007-03-20 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 17964 Swans Creek Ln |
|---|---|
| City | Dumfries |
| State | Virginia (VA) |
| Post Code | 220264526 |
| Phone Number | 7032219929 |
| Fax Number | 7032219919 |
Provider's Primary Taxonomy Detail
| Speciality | Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
|---|---|
| Taxonomy | 320900000X |
| Licence No | 755-01-001 |
|
Definition: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities. |
|
Post Comment/ Review Below
What is the Estelle Place Llc's 1023133899?
The Estelle Place Llc's NPI (National Provider Identifier) Number is 1023133899. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Estelle Place Llc is geographically located?
The Estelle Place Llc is physically situated at the following location: 17964 Swans Creek Ln, Dumfries, VA, 220264526.
What is Estelle Place Llc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Estelle Place Llc is Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the taxonomy code that categorizes this field of expertise is 320900000X.
When was the Estelle Place Llc's 1023133899 issued?
The Estelle Place Llc's 1023133899 was issued on 2007-03-20.
When was the Estelle Place Llc's information last updated?
The Estelle Place Llc's information was last updated on 2020-08-22.