National Mentor Healthcare, INC.
Foster Care Agency in Lorton, VA. Organization (NPI-2).
NPI number1760618979
StatusActive
Last updated in NPPESMar 19, 2023
Details
- NPI
- 1760618979
- Entity type
- Organization (NPI-2)
- Legal business name
- National Mentor Healthcare, INC.
- Organization subpart
- No
- Enumeration date
- Jun 2, 2009
- Certification date
- Mar 19, 2023
- Last updated
- Mar 19, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 253J00000X | Foster Care Agency | CO-125-09 | VA | Yes |
Other names
- Family Advocacy Services Of Virginia (Doing Business As)
Practice location
8540 Cinder Bed Rd Ste 1700Lorton, VA 22079-1442
Phone 703-339-7299
Mailing address
313 Congress StBoston, MA 02210-1218
Phone 800-388-5150 · Fax 617-790-4271
Authorized official
Brett Ian Cohen
Coo
8003885150
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