# JO FIRST RESIDENTIAL SERVICE LLC

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

## Provider details

- **NPI number:** 1962247064
- **Authorized official:** TILAYE KASSAHUN ABATE (CEO)
- **Authorized official phone:** (804) 380-3504

## Contact information

- **Practice address:** 10624 SARATA LN, CHESTERFIELD, VA 23832-7117
- **Practice address phone:** (804) 380-3504
- **Practice address fax:** (804) 380-3504
- **Mailing address:** 1701 QUAIL COVEY RD, HENRICO, VA 23238-3488
- **Mailing address phone:** (804) 380-3504
- **Mailing address fax:** (804) 380-3504

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3104A0630X | Assisted Living Facility (Behavioral Disturbances) | — | NULL | Yes |

## Other

- **Enumeration date:** 06/28/2024
- **Last updated:** 06/28/2024