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VOLUNTEERS OF AMERICA CHESAPEAKE, INC.

Intermediate Care Mentally Retarded

Washington, District Of Columbia

Provider NPI: 1770843526

Organization Information:
Organization Name:  VOLUNTEERS OF AMERICA CHESAPEAKE, INC.
Organization is not Subpart
Authorized Official:  RUSSELL  SNYDER  PRESIDENT  301-4592020

Practice Location:
431 53RD ST SE  WASHINGTON, DC 20019 US
Tel: 301-389-3156  Fax: 301-389-3195

Business Mailing Address:
7505 GREENWAY CENTER DR SUITE 201 GREENBELT, MD 20770 US
Tel: 301-389-3156  Fax: 301-389-3195

Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N315P00000XNursing & Custodial Care Facilities
Intermediate Care Facility, Mentally Retarded
DC
Y320900000XResidential Treatment Facilities
Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities
DC038912700

Other Provider Identifiers:

IssuerNumberStateType
038912700DC05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







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