Provider Demographics
NPI:1841773215
Name:ALBRYTE SUPPORT SERVICES LLC
Entity type:Organization
Organization Name:ALBRYTE SUPPORT SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:ELIKEM
Authorized Official - Middle Name:
Authorized Official - Last Name:ADDAE-NUKU
Authorized Official - Suffix:
Authorized Official - Credentials:SPHR
Authorized Official - Phone:703-485-5006
Mailing Address - Street 1:2 PIDGEON HILL DR STE 540
Mailing Address - Street 2:
Mailing Address - City:STERLING
Mailing Address - State:VA
Mailing Address - Zip Code:20165-6148
Mailing Address - Country:US
Mailing Address - Phone:703-544-2644
Mailing Address - Fax:703-552-2011
Practice Address - Street 1:2 PIDGEON HILL DR STE 540
Practice Address - Street 2:
Practice Address - City:STERLING
Practice Address - State:VA
Practice Address - Zip Code:20165-6148
Practice Address - Country:US
Practice Address - Phone:703-544-2644
Practice Address - Fax:703-552-2011
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-12
Last Update Date:2018-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities