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1316711948
ALTERNATIVE LIVING RESIDENCE
WOODBRIDGE, VA
NPI
1316711948
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Entity Type
Organization
Authorized Contact
LYDIA T JANNAH
Owner
571-477-8097
Organization Subpart ?
No
Primary Taxonomy
253Z00000X In Home Supportive Care
Enumeration Date
2023-11-14
Last Update Date
2024-02-23
Business Address
ALTERNATIVE LIVING RESIDENCE
14090 BIG CREST LN APT 207
WOODBRIDGE, VA 22191-5531
Phone number: 157-477-8097
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Mailing Address
ALTERNATIVE LIVING RESIDENCE
4 FLEWELLEN DR
STAFFORD, VA 22554-7829
Phone number: 571-477-8097
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