Organization · NPI-2

Amethyst In-Home And Support Services LLC

In Home Supportive Care · Stafford, VA

NPI number1851152516
StatusActive
Last updated in NPPESJan 19, 2024

Details

NPI
1851152516
Entity type
Organization (NPI-2)
Legal business name
Amethyst In-Home And Support Services LLC
Organization subpart
No
Enumeration date
Jan 19, 2024
Certification date
Jan 19, 2024
Last updated
Jan 19, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
253Z00000X In Home Supportive Care––Yes

Practice location

231 Garrisonville Rd Ste 205
Stafford, VA 22554-1603

Phone 571-250-9516

Mailing address

231 Garrisonville Rd Ste 205
Stafford, VA 22554-1603

Phone 571-250-9516

Authorized official

Darellyn Urenia Quansah
Owner
5712509516

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