Organization
EMELIA RESIDENTIAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EBENEZER AGYEMANG-KUSI (OWNER)
(571) 334-4508
Entity
Organization
Contact information
Practice address
3368 LOGSTONE DR, TRIANGLE, VA 22172-2053
(571) 334-4508
Mailing address
3368 LOGSTONE DR, TRIANGLE, VA 22172-2053
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
01/15/2026
Last updated
01/15/2026
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