OrganizationActive
Aj Residence LLC
NPI 1083388045 · Adult Care Home Facility · Woodbridge, VA
Provider details
- NPI number
- 1083388045
- Entity type
- Organization
- Primary specialty
- Adult Care Home FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Nicoline Nyah, Chief Executive Officer(703) 763-3520
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
13362 Packard Dr
Woodbridge, VA 22193-3913
Phone: (703) 763-3520
Approximate (ZIP-level) locationGet directions
Mailing address
13362 Packard Dr
Woodbridge, VA 22193-3913
Registry dates
- Enumerated
- 2021-08-03
- Last updated
- 2021-08-03
- Certified
- 2021-08-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.