Extra Care Support Services LLC
Community/Behavioral Health in Arlington, VA. Organization (NPI-2).
NPI number1407700628
StatusActive
Last updated in NPPESFeb 24, 2026
Details
- NPI
- 1407700628
- Entity type
- Organization (NPI-2)
- Legal business name
- Extra Care Support Services LLC
- Organization subpart
- No
- Enumeration date
- Feb 24, 2026
- Certification date
- Feb 24, 2026
- Last updated
- Feb 24, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
| 251B00000X | Case Management | – | – | |
| 310400000X | Assisted Living Facility | – | – |
Practice location
1655 Fort Myer DrArlington, VA 22209-3113
Phone 667-200-9215
Mailing address
6820 Fountain Park DrGlenn Dale, MD 20769-9485
Phone 667-200-9215
Authorized official
Damilola Ajepe
Owner
6672009215
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