Organization
ACCESSSTAR COMMUNITY LIVING SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KWASI ANWOMEA NP (DIRECTOR)
(703) 659-9640
Entity
Organization
Contact information
Practice address
8705 STONEWALL RD, MANASSAS, VA 20110-4534
(706) 659-9640
(703) 659-9616
Mailing address
8705 STONEWALL RD, MANASSAS, VA 20110-4534
(706) 659-9640
(703) 659-9616
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
09/16/2019
Last updated
05/17/2023
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