| Exceptional Hands Group Home Llc | |
|
71 Kinross Dr Stafford VA 22554-6579 | |
| (302) 397-7581 | |
| Not Available |
| Full Name | Exceptional Hands Group Home Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 71 Kinross Dr, Stafford, Virginia |
| Authorized Official Name and Position | Sarian Diallo (CNS) |
| Authorized Official Contact | 3023977581 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Exceptional Hands Group Home Llc 71 Kinross Dr Stafford VA 22554-6579 Ph: () - | Exceptional Hands Group Home Llc 71 Kinross Dr Stafford VA 22554-6579 Ph: (302) 397-7581 |
| NPI Number | 1033855960 |
|---|---|
| Provider Enumeration Date | 05/12/2022 |
| Last Update Date | 05/12/2022 |
| Certification Date | 05/12/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033855960 | NPI | - | NPPES |
| 881919443 | Other | VA | FEDERAL GOVERNMENT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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