Divine Supports & Homes Inc
Divine Supports & Homes Inc is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Fairfax, Virginia. Registered with an NPI since 2018.
- In the registry since
- 2018
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
13005 Maepine CtFairfax, VA 22033-3130
Phone: (240) 413-7682
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) | Taxonomy 320900000X |
|---|
Record details
| NPI number | 1114400157 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Mavis Tah — Ceo · (240) 413-7682 |
| NPI enumerated | September 14, 2018 |
| Last updated in NPPES | September 14, 2018 |
| Mailing address | 9716 Anita Ln, Lanham, MD 20706-3307 |
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