A1 Residential Support Services
In Home Supportive Care in Springfield, VA. Organization (NPI-2).
NPI number1033804869
StatusActive
Last updated in NPPESApr 7, 2023
Details
- NPI
- 1033804869
- Entity type
- Organization (NPI-2)
- Legal business name
- A1 Residential Support Services
- Organization subpart
- No
- Enumeration date
- Apr 7, 2023
- Certification date
- Mar 29, 2023
- Last updated
- Apr 7, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 253Z00000X | In Home Supportive Care | – | – | Yes |
Practice location
6564 Loisdale Ct Ste 600Springfield, VA 22150-1829
Phone 571-310-3859
Mailing address
6564 Loisdale Ct Ste 600Springfield, VA 22150-1829
Phone 703-493-3111
Authorized official
Tamara Snell
Director
5713103859
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