Zion Residential Care LLC
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Fredericksburg, VA. Organization (NPI-2).
NPI number1982308573
StatusActive
Last updated in NPPESMar 28, 2023
Details
- NPI
- 1982308573
- Entity type
- Organization (NPI-2)
- Legal business name
- Zion Residential Care LLC
- Organization subpart
- No
- Enumeration date
- Mar 28, 2023
- Certification date
- Mar 28, 2023
- Last updated
- Mar 28, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | – | – | Yes |
Practice location
5406 Ivy Hill DrFredericksburg, VA 22407-9205
Phone 571-477-9206
Mailing address
5406 Ivy Hill DrFredericksburg, VA 22407-9205
Phone 571-477-9206
Authorized official
Edna Freeman
Owner
5714779206
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