Provident Arc LLC
Provident Arc LLC is an Intellectual and/or Developmental Disabilities Residential Treatment Facility in Woodbridge, Virginia. Licensed in Virginia. Registered with an NPI since 2010.
- Licensed in
- VA
- In the registry since
- 2010
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
17300 River Ridge Blvd Ste 301Woodbridge, VA 22191-5167
Phone: (703) 861-4409
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 Residential Treatment Facility (primary) | Taxonomy 320600000X · Licence 954 (VA) |
|---|
Record details
| NPI number | 1285957761 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Reynaldo Roundtree — Co-Owner · (703) 861-4409 |
| NPI enumerated | March 11, 2010 |
| Last updated in NPPES | March 11, 2010 |
| Mailing address | 17300 River Ridge Blvd, Suite 301, Woodbridge, VA 22191-5167 |
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