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Organization

SKY RESIDIENTIAL CARE SERVICES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. PRIMUS ALUNGAMOH NKEMBETANG (ADMIN)
(571) 315-5698
Entity
Organization

Contact information

Practice address
9089 CONNOR HOUSE RD, MANASSAS, VA 20110-1766
(571) 315-5698
Mailing address
9089 CONNOR HOUSE RD, MANASSAS, VA 20110-1766
(571) 315-5698

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary

Other

Enumeration date
10/02/2024
Last updated
10/02/2024
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