REVAMP SUPPORT RESIDENTIAL SERVICES LLP NPI 1003697392

NPI Information

  • NPI: 1003697392
  • Provider Name: REVAMP SUPPORT RESIDENTIAL SERVICES LLP
  • Classification: Day Training, Developmentally Disabled Services - 251C00000X
  • Entity Type: Organization
  • Address: 2851 HEADWAY DR
    WOODBRIDGE, VA
    ZIP 22191
  • Phone: (202) 820-6698

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NPI Details

REVAMP SUPPORT RESIDENTIAL SERVICES LLP is a day training developmentally disabled services in Woodbridge, VA. The provider is these agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. REVAMP SUPPORT RESIDENTIAL SERVICES LLP NPI is 1003697392. The provider is registered as an organization entity type.

The provider's business location address is:

2851 HEADWAY DR
WOODBRIDGE, VA
ZIP 22191-042
Phone: (202) 820-6698

The provider's authorized official is Strafford Achanyi Ngosong .
The authorized official title is Program Director and has the following contact phone number (202) 820-6698.

The enumeration date for this NPI number is 10/11/2023 and was last updated on 10/11/2023.

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
1251C00000XDay Training, Developmentally Disabled ServicesYes

What is NPI?

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This page was last updated on: 11/21/2025

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