Organization
ABILITY HOME SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINUS AMBE TIBUI (ADMINISTRATOR)
(571) 447-1404
Entity
Organization
Contact information
Practice address
13505 KERRYDALE RD, WOODBRIDGE, VA 22193-4706
(571) 447-1404
Mailing address
13505 KERRYDALE RD, WOODBRIDGE, VA 22193-4706
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
2745
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2745
—
VA
Enumeration date
02/05/2018
Last updated
02/05/2018
Update your record
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