A & C Support Services INC.
Case Management in Alexandria, VA. Organization (NPI-2).
NPI number1992201156
StatusActive
Last updated in NPPESDec 8, 2020
Details
- NPI
- 1992201156
- Entity type
- Organization (NPI-2)
- Legal business name
- A & C Support Services INC.
- Organization subpart
- No
- Enumeration date
- Apr 4, 2018
- Certification date
- Dec 7, 2020
- Last updated
- Dec 8, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251B00000X | Case Management | – | – | Yes |
| 253Z00000X | In Home Supportive Care | – | – | |
| 302F00000X | Exclusive Provider Organization | – | – | |
| 251S00000X | Community/Behavioral Health | – | – | |
| 251X00000X | Supports Brokerage | – | – | |
| 252Y00000X | Early Intervention Provider Agency | – | – |
Practice location
1602 Belle View Blvd # 3015Alexandria, VA 22307-6531
Phone 703-659-8404
Mailing address
1602 Belle View Blvd # 3015Alexandria, VA 22307-6531
Phone 540-307-1054
Other practice locations
2236 Fort Pickens Ct
Dumfries, VA 22026-2508
Dumfries, VA 22026-2508
Phone 540-307-1054
Authorized official
Ebony Houze
Ceo
7036598404
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