PROVIDENT ARC LLC – Intellectual and/or Developmental Disabilities Residential Treatment Facility, NPI 1285957761
Intellectual and/or Developmental Disabilities Residential Treatment Facility
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Provider Addresses for PROVIDENT ARC LLC
17300, River Ridge Boulevard, Wayside Village, Southbridge, Woodbridge, Prince William County, Virginia, 22191, United States
SUITE 301
WOODBRIDGE, VA 221915167
Phone: (703) 861-4409
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 22191)
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