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A & J Residential Services LLC — NPI 1376188912, Petersburg, VA | NPI Central

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NPI 1376188912

OrganizationActive

A & J Residential Services LLC

NPI 1376188912 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Petersburg, VA

Provider details

NPI number: 1376188912
Entity type: Organization
Primary specialty: Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
Organization subpart: No
Authorized official: Jennifer Perez, Ceo/Nurse(804) 721-0707

Specialties & taxonomies

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Developmentally Disabled Services Day Training Agency251C00000X
Agencies
Nursing Care Agency251J00000X
Agencies
Non-emergency Medical Transport (VAN)343900000X
Transportation Services

Practice location

2022 Country Lane Ct

Petersburg, VA 23805-2005

Phone: (804) 721-0707

Approximate (ZIP-level) locationGet directions

More VA providers

Mailing address

2022 Country Lane Ct

Petersburg, VA 23805-2005

Additional practice locations (1)

1817 Boydton Plank Rd
Petersburg, VA 23805-8919
Phone: (804) 721-0707

Registry dates

Enumerated: 2019-11-07
Last updated: 2023-11-08
Certified: 2022-05-28

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.