Organization
BB HOME SUPPORT SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT N ESSIEN (CEO)
(571) 241-1025
Entity
Organization
Contact information
Practice address
6803 BACKLICK RD STE C, SPRINGFIELD, VA 22150-3075
(703) 596-0016
(703) 752-0540
Mailing address
6803 BACKLICK RD STE C, SPRINGFIELD, VA 22150-3075
(703) 596-0016
(703) 752-0540
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/18/2023
Last updated
09/18/2023
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