King Health Systems, LLC
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Alexandria, VA. Organization (NPI-2).
NPI number1083390744
StatusActive
Last updated in NPPESJun 26, 2023
Details
- NPI
- 1083390744
- Entity type
- Organization (NPI-2)
- Legal business name
- King Health Systems, LLC
- Organization subpart
- No
- Enumeration date
- Jun 26, 2023
- Certification date
- Jun 26, 2023
- Last updated
- Jun 26, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | – | – | Yes |
Practice location
5757 Dow Ave Apt 139Alexandria, VA 22304-5101
Phone 703-888-2113
Mailing address
5757 Dow Ave Apt 139Alexandria, VA 22304-5101
Phone 703-888-2113
Authorized official
Sule Ishola Salako
Administrator
4438047652
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