Organization
EXTRA CARE SUPPORT SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAMILOLA AJEPE (OWNER)
(667) 200-9215
Entity
Organization
Contact information
Practice address
1655 FORT MYER DR, ARLINGTON, VA 22209-3113
(667) 200-9215
Mailing address
6820 FOUNTAIN PARK DR, GLENN DALE, MD 20769-9485
(667) 200-9215
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
310400000X
Assisted Living Facility
—
—
Other
Enumeration date
02/24/2026
Last updated
02/24/2026
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