Organization
AMAZING ACE HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EMMANUEL WANSI SR. (CEO)
(703) 347-1508
Entity
Organization
Contact information
Practice address
12903 FRAMINGHAM CT, HERNDON, VA 20171-2616
(703) 340-0217
Mailing address
1693 WINTERWOOD CT, HERNDON, VA 20170-2990
(703) 347-1508
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
09/19/2021
Last updated
09/19/2021
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