Organization
AXIONCREST HEALTH SYSTEMS LLC
Active
Organization
AXIONCREST HEALTH SYSTEMS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LONGCHI GIDE KANOUO (MANAGER)
(571) 450-2500
Entity
Organization
Contact information
Practice address
5568 GENERAL WASHINGTON DR STE A214, ALEXANDRIA, VA 22312-2465
(571) 778-1726
Mailing address
5568 GENERAL WASHINGTON DR STE A214, ALEXANDRIA, VA 22312-2465
(571) 450-2500
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
07/10/2026
Last updated
08/24/2026
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