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Aj Residence Llc
Adult Care Home Facility in Woodbridge, Virginia
NPI 1083388045

Aj Residence Llc is an Adult Care Home Facility based in Woodbridge, VA and is specialized in Adult Care Home. Aj Residence Llc practices in Woodbridge, VA. The NPI Number for Aj Residence Llc is 1083388045 and holds a License No. (Virginia).

The current practice location address for Aj Residence Llc is 13362 Packard Dr, Woodbridge, VA and can be reached out via phone at 703-763-3520.

Location: 13362 Packard Dr, Woodbridge, VA, 22193-3913
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1083388045
Provider Name
Aj Residence Llc
Credential
Provider Entity Type
Organization
Address
13362 Packard Dr, Woodbridge, VA, 22193-3913
Phone Number
703-763-3520
Fax Number
Provider Enumeration Date
08/03/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3777 01 VA VIRGINIA DEPARTMENT OF BEHAVIORAL HEALTH & DEVELOPMENTAL SERVICES
institution
Provider Business Practice Location Address Details
Address
13362 Packard Dr
City
Woodbridge
State
Virginia
Zip
22193-3913
Phone Number
703-763-3520
Fax Number
person
Provider Business Mailing Address Details
Address
13362 Packard Dr
City
Woodbridge
State
Virginia
Zip
22193-3913
Phone Number
703-763-3520
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Custodial Care Facility
Speciality
Adult Care Home
Taxonomy
311ZA0620X
License No.
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Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
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