# BELOVED1 LLC

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

## Provider details

- **NPI number:** 1952758567
- **Authorized official:** DR. EBERECHI CORNELIA EKECHUKWU (OWNER)
- **Authorized official phone:** (703) 334-6621

## Contact information

- **Practice address:** 15471 PAPILLON PL, WOODBRIDGE, VA 22193-3399
- **Practice address phone:** (703) 334-6621
- **Practice address fax:** (703) 334-6615
- **Mailing address:** 15471 PAPILLON PL, WOODBRIDGE, VA 22193-3399
- **Mailing address phone:** (703) 334-6621
- **Mailing address fax:** (703) 334-6615

## Taxonomy

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

## Other

- **Enumeration date:** 05/24/2016
- **Last updated:** 06/08/2016