Organization
ANDRA RESIDENTIAL SUPPORT SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOYCE SAKYI (OWNER/ADMINISTRATOR)
(202) 403-9147
Entity
Organization
Contact information
Practice address
8 PICKETT LN, STAFFORD, VA 22556-6472
(202) 403-9147
Mailing address
8 PICKETT LN, STAFFORD, VA 22556-6472
(202) 403-9147
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
11/28/2025
Last updated
11/28/2025
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