Healthcare Provider Details

I. General information

NPI: 1114852100
Provider Name (Legal Business Name): EARTHORA ORCHARD LIVING SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/12/2026
Last Update Date: 06/12/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15117 MONTANUS DR
CULPEPER VA
22701-1676
US

IV. Provider business mailing address

15117 MONTANUS DR
CULPEPER VA
22701-1676
US

V. Phone/Fax

Practice location:
  • Phone: 571-477-6137
  • Fax:
Mailing address:
  • Phone: 571-477-6137
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State

VIII. Authorized Official

Name: MATILDA ACHEAMPOMA BARFI
Title or Position: OWNER
Credential: MHP
Phone: 571-477-6137