Amazing Lyf Support Services LLC

NPI #1497342539 in Stafford, Virginia

Provider Information

NPI Number: 1497342539
Entity Type: Organization
Organization Name: Amazing Lyf Support Services LLC
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Dec 23, 2020
Last Updated: Dec 23, 2020

Practice Location

Address: 245 GARRISONVILLE RD STE 102
City: Stafford
State: Virginia
ZIP Code: 22554-8901
Phone: (571) 409-9991

Authorized Official

Name: AARON WORLANYO ODUM
Title: CEO
Phone: (571) 409-9991

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
In Home Supportive Care	253Z00000X
Clinic/Center - Adult Day Care — Adult Day Care	261QA0600X
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary

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