A&O Supreme Care

Organization Active NPI In Home Supportive Care Agency · Annandale, VA

NPI 1104691302 · NPPES record last updated Nov 17, 2023

Key facts

NPI
1104691302
Entity type
Organization (NPI type 2)
Primary specialty
In Home Supportive Care Agency 253Z00000X
Legal business name
A&O SUPREME CARE
Practice address
4200 Evergreen LN Ste 332
Annandale, VA 22003-3252
Phone
(240) 821-2078
NPI assigned
Nov 17, 2023
Organization subpart
No

Authorized official

Name
Judith Ngieh
Title
Director
Phone
(240) 821-2078

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Yes

Addresses

Primary practice location

4200 Evergreen LN Ste 332
Annandale, VA 22003-3252

Mailing address

4807 Tylers Hope Dr
Bowie, MD 20720-6303

Other providers in Annandale, VA

All providers in Annandale, VA · In Home Supportive Care Agency in Virginia

Sources for this page

Verify at the official NPI Registry.