Healthcare Provider Details

I. General information

NPI: 1982216727
Provider Name (Legal Business Name): ALDRICH CARE SOLUTION,LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/22/2020
Last Update Date: 12/23/2020
Certification Date: 12/19/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

245 GARRISONVILLE RD STE 102
STAFFORD VA
22554-8901
US

IV. Provider business mailing address

209 CHESTERBROOK CT # 209
STAFFORD VA
22554-4880
US

V. Phone/Fax

Practice location:
  • Phone: 571-409-9991
  • Fax: 540-779-5033
Mailing address:
  • Phone: 571-409-9991
  • Fax: 540-779-5033

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: AARON WORLANYO ODUM
Title or Position: EXECUTIVE DIRECTIVE
Credential:
Phone: 571-409-9991