# AMETHYST IN-HOME AND SUPPORT SERVICES LLC

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

## Provider details

- **NPI number:** 1851152516
- **Authorized official:** DARELLYN URENIA QUANSAH (OWNER)
- **Authorized official phone:** (571) 250-9516

## Contact information

- **Practice address:** 231 GARRISONVILLE RD STE 205, STAFFORD, VA 22554-1603
- **Practice address phone:** (571) 250-9516
- **Mailing address:** 231 GARRISONVILLE RD STE 205, STAFFORD, VA 22554-1603
- **Mailing address phone:** (571) 250-9516

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 01/19/2024
- **Last updated:** 01/19/2024