Organization
EMPOWER HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HILINA AYALEW (REGISTERED NURSE)
(703) 300-6395
Entity
Organization
Contact information
Practice address
6524 GILDAR ST, ALEXANDRIA, VA 22310-2519
(703) 300-6395
Mailing address
4220 RALEIGH AVE APT 201, ALEXANDRIA, VA 22304-5379
(703) 300-6395
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
10/16/2024
Last updated
10/16/2024
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