NPI 1083388045

Aj Residence LLC

Organisation Adult Care Home Facility Woodbridge, VA

Practice location

Address: 13362 Packard Dr, Woodbridge, VA 22193-3913
Phone: (703) 763-3520

Authorised official

Name: Nicoline Nyah
Title: Chief Executive Officer
Phone: (703) 763-3520

Registered specialties

Adult Care Home Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X

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Registry record

NPI: 1083388045
Entity type: Organization
NPI issued: 3 Aug 2021
Record last updated: 3 Aug 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.