Organization
KING HEALTH SYSTEMS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SULE ISHOLA SALAKO OWNER (ADMINISTRATOR)
(443) 804-7652
Entity
Organization
Contact information
Practice address
5757 DOW AVE APT 139, ALEXANDRIA, VA 22304-5101
(703) 888-2113
Mailing address
5757 DOW AVE APT 139, ALEXANDRIA, VA 22304-5101
(703) 888-2113
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
06/26/2023
Last updated
06/26/2023
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