Organization
AGING IN PLACE CAREGIVING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FONYA C ATABONG DNP (DIRECTOR OF NURSING)
(734) 218-5001
Entity
Organization
Contact information
Practice address
6223 GLEN WOOD LOOP, MANASSAS, VA 20112-8871
(571) 762-0189
Mailing address
15000 POTOMAC TOWN PL STE 100-147, WOODBRIDGE, VA 22191-6586
(734) 218-5001
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
03/21/2023
Last updated
03/21/2023
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