Organization
E & E RESIDENTIAL SUPPORT PROFESSIONALS LLC
Active
Other names
E & E Residential Support Professionals, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH KWEKU BANSAH (PRESIDENT/CEO)
(571) 484-6464
Entity
Organization
Contact information
Practice address
14221 LINDENDALE RD, WOODBRIDGE, VA 22193-3448
(571) 484-6464
(703) 986-0717
Mailing address
14221 LINDENDALE RD, WOODBRIDGE, VA 22193-3448
(571) 484-6464
(703) 986-0717
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
10/30/2020
Last updated
02/10/2026
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