Organization · NPI-2

A&E Noble Care Agency LLC

In Home Supportive Care · Stafford, VA

NPI number1205699246
StatusActive
Last updated in NPPESFeb 1, 2024

Details

NPI
1205699246
Entity type
Organization (NPI-2)
Legal business name
A&E Noble Care Agency LLC
Organization subpart
No
Enumeration date
Feb 1, 2024
Certification date
Feb 1, 2024
Last updated
Feb 1, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
253Z00000X In Home Supportive Care––Yes
261QD1600X Clinic/Center, Developmental Disabilities––

Practice location

5 Fountain Dr
Stafford, VA 22554-7298

Phone 540-659-3417

Mailing address

5 Fountain Dr
Stafford, VA 22554-7298

Authorized official

Victor Nyankah
Chief Executive Officer
7037862317

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