# AA FAMILY HEALTHCARE SERVICE INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194159715
- **Authorized official:** MRS. AMANDA WILSON (ADMINISTRATOR)
- **Authorized official phone:** (703) 380-6809

## Contact information

- **Practice address:** 1399 EISENHOWER CIR, 401, WOODBRIDGE, VA 22191-5231
- **Practice address phone:** (703) 380-6809
- **Mailing address:** 1399 EISENHOWER CIR APT 401, WOODBRIDGE, VA 22191-5231

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 9000 | VA | Yes |

## Other

- **Enumeration date:** 08/30/2013
- **Last updated:** 08/30/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | VA | — | VA |