Organization
GREGORY AND FRIENDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS ANTONIA AKWULE (PROGRAM DIRECTOR)
(703) 409-0916
Entity
Organization
Contact information
Practice address
5350 MACDONALD RD, WOODBRIDGE, VA 22193-5885
(703) 409-0916
Mailing address
5350 MACDONALD RD, WOODBRIDGE, VA 22193-5885
(703) 409-0916
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
373H00000X
Day Training/Habilitation Specialist
—
—
Other
Enumeration date
09/25/2024
Last updated
09/25/2024
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