Organization
JILLY HEALTHCARE SERVICES, LLC
Active
Other names
JILLY HEALTHCARE SERVICES, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DIDI KADJI-TEDJEU (OWNER)
(202) 390-1582
Entity
Organization
Contact information
Practice address
4145 LENOX DR, FAIRFAX, VA 22032-1112
(202) 390-1582
Mailing address
12642 TRAVILAH RD, POTOMAC, MD 20854-1084
(202) 390-1582
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
08/24/2020
Last updated
08/24/2020
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