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HEAVENS WAY SERVICES INC

>> Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities >> Residential Treatment Facilities

Registrant NPI Number: 1558921817

Organizational Registrant:
Organization Name:  HEAVENS WAY SERVICES INC
Organization is not Subpart
Authorized Official:  MARTINE  TCHUEMBUE  DIRECTOR  301--79-39840

Location and contact information for practice:
9710 FIVE OAKS RD  FAIRFAX, VA 22031-1109 US
Tel: 301-793-9840  Fax: --

Contact information for business:
9710 FIVE OAKS RD  FAIRFAX, VA 22031-1109 US
Tel: --  Fax: --

Registration Information:
NPI: 1558921817
Entity Type: Organization

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y320600000XResidential Treatment Facilities
Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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