Organization
AJ RESIDENCE RVA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLINE NYAH (OWNER)
(240) 313-6344
Entity
Organization
Contact information
Practice address
7501 MOSS SIDE AVE, RICHMOND, VA 23227-1837
(240) 313-6344
Mailing address
14740 BELL TOWER RD, WOODBRIDGE, VA 22193-3624
(240) 313-6344
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
08/11/2025
Last updated
08/11/2025
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