Aa Mother LLC
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Triangle, VA. Organization (NPI-2).
NPI number1962190801
StatusActive
Last updated in NPPESApr 28, 2023
Details
- NPI
- 1962190801
- Entity type
- Organization (NPI-2)
- Legal business name
- Aa Mother LLC
- Organization subpart
- No
- Enumeration date
- Apr 28, 2023
- Certification date
- Apr 28, 2023
- Last updated
- Apr 28, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | – | – | Yes |
Practice location
19004 Queen DrTriangle, VA 22172-2119
Phone 240-752-3568
Mailing address
19004 Queen DrTriangle, VA 22172-2119
Phone 240-752-3568
Authorized official
Henriette Pouatene
Administrator
2407523568
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