Aa Mother LLC
Organization Active NPI Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Triangle, VA
NPI 1962190801 · NPPES record last updated Apr 28, 2023
Key facts
- NPI
- 1962190801
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X
- Legal business name
- AA MOTHER LLC
- Practice address
- 19004 Queen Dr
Triangle, VA 22172-2119 - Phone
- (240) 752-3568
- NPI assigned
- Apr 28, 2023
- Organization subpart
- No
Authorized official
- Name
- Henriette Pouatene
- Title
- Administrator
- Phone
- (240) 752-3568
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | Yes |
Addresses
Primary practice location
19004 Queen Dr
Triangle, VA 22172-2119
Mailing address
19004 Queen Dr
Triangle, VA 22172-2119
Phone (240) 752-3568
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All providers in Triangle, VA · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 28, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.