A & J Residential Services LLC

NPI #1376188912 in Petersburg, Virginia

Provider Information

NPI Number: 1376188912
Entity Type: Organization
Organization Name: A & J Residential Services LLC
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Nov 7, 2019
Last Updated: Nov 8, 2023

Practice Location

Address: 2022 COUNTRY LANE CT
City: Petersburg
State: Virginia
ZIP Code: 23805-2005
Phone: (804) 721-0707

Authorized Official

Name: MRS. JENNIFER K PEREZ
Title: CEO/NURSE
Phone: (804) 721-0707

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Day Training, Developmentally Disabled Services	251C00000X
Nursing Care	251J00000X
Non-emergency Medical Transport (VAN)	343900000X
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary

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