Passion Residential Services LLC

Organization Active NPI Developmentally Disabled Services Day Training Agency · Triangle, VA

NPI 1700522331 · NPPES record last updated Aug 31, 2023

Key facts

NPI
1700522331
Entity type
Organization (NPI type 2)
Primary specialty
Developmentally Disabled Services Day Training Agency 251C00000X
Legal business name
PASSION RESIDENTIAL SERVICES LLC
Practice address
18416 Cabin Rd
Triangle, VA 22172-1407
Phone
(703) 891-2969
Fax
(703) 891-2970
NPI assigned
May 6, 2022
Organization subpart
No

Authorized official

Name
Mr. Robert N Essien
Title
Adminstrator
Phone
(571) 241-1025

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

6803 Backlick Rd
Ste C
Springfield, VA 22150
Phone (571) 241-1025

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Yes

Addresses

Primary practice location

18416 Cabin Rd
Triangle, VA 22172-1407

Mailing address

18416 Cabin Rd
Triangle, VA 22172-1407
Phone (703) 891-2969

Other practice location 1

6803 Backlick Rd Ste C
Springfield, VA 22150-3073
Phone (571) 241-1025

Other providers in Triangle, VA

All providers in Triangle, VA · Developmentally Disabled Services Day Training Agency in Virginia

Sources for this page

Verify at the official NPI Registry.