Estelle Place Llc in Dumfries - Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Estelle Place Llc - NPI 1922123454
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 1922123454. The last update date is 2020-08-22.
Estelle Place Llc's current location address is 16206 Kings Valley Dr, Dumfries, Virginia. You can contact this provider via phone number 7036804428 and fax number 7032219919. The mailing address for Estelle Place Llc is 16206 Kings Valley Dr, Dumfries, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Estelle Place Llc |
|---|---|
| Address | 16206 Kings Valley Dr, Dumfries, Virginia |
| Phone Number | 7036804428 |
| 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 | 1922123454 |
|---|---|
| Provider Enumeration Date | 2007-03-21 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 16206 Kings Valley Dr |
|---|---|
| City | Dumfries |
| State | Virginia (VA) |
| Post Code | 220251738 |
| Phone Number | 7036804428 |
| 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. |
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Post Comment/ Review Below
What is the unique 10-digit identification code issued to Estelle Place Llc by the Centers for Medicare & Medicaid Services?
The Estelle Place Llc has been assigned the NPI (National Provider Identifier) 1922123454 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete address where Estelle Place Llc is physically located?
The Estelle Place Llc is situated at the following address: 16206 Kings Valley Dr, Dumfries, VA 220251738.
What is Estelle Place Llc's area of expertise and its corresponding taxonomy classification?
The Estelle Place Llc's field of specialization is Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and it falls under the taxonomy code 320900000X, which categorizes healthcare providers based on their areas of practice.
On what date was the 1922123454 assigned to Estelle Place Llc?
The Estelle Place Llc was issued its 1922123454 on 2007-03-21, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Estelle Place Llc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Estelle Place Llc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.