Provider Demographics
NPI:1982216727
Name:ALDRICH CARE SOLUTION,LLC.
Entity Type:Organization
Organization Name:ALDRICH CARE SOLUTION,LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTIVE
Authorized Official - Prefix:
Authorized Official - First Name:AARON
Authorized Official - Middle Name:WORLANYO
Authorized Official - Last Name:ODUM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:571-409-9991
Mailing Address - Street 1:209 CHESTERBROOK CT # 209
Mailing Address - Street 2:
Mailing Address - City:STAFFORD
Mailing Address - State:VA
Mailing Address - Zip Code:22554-4880
Mailing Address - Country:US
Mailing Address - Phone:571-409-9991
Mailing Address - Fax:540-779-5033
Practice Address - Street 1:245 GARRISONVILLE RD STE 102
Practice Address - Street 2:
Practice Address - City:STAFFORD
Practice Address - State:VA
Practice Address - Zip Code:22554-8901
Practice Address - Country:US
Practice Address - Phone:571-409-9991
Practice Address - Fax:540-779-5033
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-22
Last Update Date:2020-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No385H00000XRespite Care FacilityRespite Care