Organization
GRACEFUL GARDENS RESIDENTIAL GROUP HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FREDERICK ADDAI-POKU PM (DIRECTOR)
(703) 870-0824
Entity
Organization
Contact information
Practice address
5510 JOSHUA TREE CIR, FREDERICKSBURG, VA 22407-9343
(571) 575-0558
Mailing address
5510 JOSHUA TREE CIR, FREDERICKSBURG, VA 22407-9343
(571) 575-0558
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
01/17/2024
Last updated
01/19/2024
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