Healthcare Provider Details

I. General information

NPI: 1063719326
Provider Name (Legal Business Name): AJS MINISTRIES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/23/2011
Last Update Date: 02/23/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3121 STONE DALE CT
RICHMOND VA
23223-2651
US

IV. Provider business mailing address

3121 STONE DALE CT
RICHMOND VA
23223-2651
US

V. Phone/Fax

Practice location:
  • Phone: 804-873-9255
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251V00000X
TaxonomyVoluntary or Charitable Agency
License Number
License Number State

VIII. Authorized Official

Name: DR. JUANITA ELIZABETH WOODSON
Title or Position: CEO
Credential: D.C.C.
Phone: 804-873-9255