Organization
FREDERICKSBURG AREA HEALTH AND SUPPORT SERVICES
Active
Other names
Fredericksburg Area HIV AIDS Support Services, FAHASS
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH LYTTLE (EXECUTIVE DIRECTOR)
(540) 907-4555
Entity
Organization
Contact information
Practice address
10514 WAKEMAN DR, FREDERICKSBURG, VA 22407-8040
(540) 907-4555
(540) 371-8446
Mailing address
4343 PLANK RD STE 100, FREDERICKSBURG, VA 22407-4807
(540) 907-4555
(540) 371-8446
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
—
—
251B00000X
Case Management Agency
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
06/18/2007
Last updated
08/30/2022
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