IndividualActive
Abdul Kanu
NPI 1649038399 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Fredericksburg, VA
Provider details
- NPI number
- 1649038399
- Entity type
- Individual
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Practice location
9412 Birch Cliff Dr
Fredericksburg, VA 22407-9223
Phone: (804) 709-8964
Approximate (ZIP-level) locationGet directions
Mailing address
9412 Birch Cliff Dr
Fredericksburg, VA 22407-9223
Registry dates
- Enumerated
- 2024-03-07
- Last updated
- 2024-03-07
- Certified
- 2024-03-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.