# AAAPEDIATRIC N ADULTE HEALTHCARE SERVICE

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

## Provider details

- **NPI number:** 1457601197
- **Authorized official:** MS. BARISI JENNY CORNELIUS (MANAGER)
- **Authorized official phone:** (703) 623-8800

## Contact information

- **Practice address:** 4810 BEAUREGARD ST, ALEXANDRIA, VA 22312-1709
- **Practice address phone:** (703) 623-8800
- **Practice address fax:** (703) 639-0867
- **Mailing address:** 4810 BEAUREGARD ST, ALEXANDRIA, VA 22312-1709
- **Mailing address phone:** (703) 623-8800
- **Mailing address fax:** (703) 639-0867

## Taxonomy

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

## Other

- **Enumeration date:** 09/10/2012
- **Last updated:** 09/10/2012