OrganizationActive
Blessed Support Professionals, Inc
NPI 1831755958 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Woodbridge, VA
Provider details
- NPI number
- 1831755958
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Ebenezer Banahene, President(703) 926-9739
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Practice location
14511 Jefferson Davis Hwy # a
Woodbridge, VA 22191-2807
Phone: (703) 494-6014
Approximate (ZIP-level) locationGet directions
Mailing address
14511 Jefferson Davis Hwy # a
Woodbridge, VA 22191-2807
Registry dates
- Enumerated
- 2019-05-14
- Last updated
- 2019-05-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.