OrganizationActive
Emelia Residential Services LLC
NPI 1366300428 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Triangle, VA
Provider details
- NPI number
- 1366300428
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Ebenezer Agyemang-Kusi, Owner(571) 334-4508
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Practice location
3368 Logstone Dr
Triangle, VA 22172-2053
Phone: (571) 334-4508
Approximate (ZIP-level) locationGet directions
Mailing address
3368 Logstone Dr
Triangle, VA 22172-2053
Registry dates
- Enumerated
- 2026-01-15
- Last updated
- 2026-01-15
- Certified
- 2026-01-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.