Organization
ANGELS RESIDENTIAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MABINTI KAMARA (DIRECTOR)
(703) 861-8038
Entity
Organization
Contact information
Practice address
12770 RIPPLE CREEK CT APT 2314, WOODBRIDGE, VA 22192-6562
(703) 861-8038
Mailing address
12770 RIPPLE CREEK CT APT 2314, WOODBRIDGE, VA 22192-6562
(703) 861-8038
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/13/2020
Last updated
05/13/2020
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