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Organization

LIFE IMPACT HEALTHCARE SERVICES LLC

Active
Other names
LIFE IMPACT HEALTHCARE SERVICES
Organization subpart
No

Provider details

NPI number
Authorized official
GEORGINA ABOAGYE (PRESIDENT)
(571) 594-4093
Entity
Organization

Contact information

Practice address
454 CAMBRIDGE ST, FREDERICKSBURG, VA 22405-1455
(571) 594-4091
Mailing address
454 CAMBRIDGE ST, FREDERICKSBURG, VA 22405-1455

Taxonomy

Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
251E00000X
Home Health Agency
Primary
251J00000X
Nursing Care Agency
372500000X
Chore Provider
372600000X
Adult Companion
3747P1801X
Personal Care Attendant
374U00000X
Home Health Aide
376J00000X
Homemaker
385H00000X
Respite Care

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
HCO-0005996
VDH
VA
Enumeration date
09/20/2025
Last updated
05/04/2026
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