BLOSSOM FATIMA HOME NPI 1740847888

NPI Information

NPI: 1740847888
Provider Name: BLOSSOM FATIMA HOME
Classification: Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320600000X
Entity Type: Organization
Address:
4810 BRADFORD DR
ANNANDALE, VA
ZIP 22003
Phone: (703) 712-7390
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BLOSSOM FATIMA HOME is a residential treatment facility, intellectual and/or developmental disabilities in Annandale, VA. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. BLOSSOM FATIMA HOME NPI is 1740847888. The provider is registered as an organization entity type.

The provider's business location address is:

4810 BRADFORD DR
ANNANDALE, VA
ZIP 22003-539
Phone: (703) 712-7390

The provider's authorized official is Alieu Kamara .
The authorized official title is Director and has the following contact phone number (703) 712-7390.

The enumeration date for this NPI number is 5/23/2019 and was last updated on 5/23/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	320600000X	Residential Treatment Facility, Intellectual and/or Developmental Disabilities				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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