# AGING GRACEFULLY SENIOR CARE

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

## Provider details

- **NPI number:** 1235188160
- **Authorized official:** SAMUEL KWASI ABA (CHIEF ADMIN OFFICER)
- **Authorized official phone:** (703) 218-5044

## Contact information

- **Practice address:** 10560 MAIN ST, \# 513, FAIRFAX, VA 22030-7182
- **Practice address phone:** (703) 218-5044
- **Mailing address:** 10560 MAIN ST, \# 513, FAIRFAX, VA 22030-7182
- **Mailing address phone:** (703) 218-5044

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | HCO316PC | VA | Yes |

## Other

- **Enumeration date:** 05/08/2006
- **Last updated:** 07/21/2022