| Organization Name: | ABCSS-LOUDOUN, INC |
| NPI Number: | 1295140176 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CHRISTOPHER EDWARD KONDRACKI (PRESIDENT) |
| Mailing Address: | 44084 Riverside Pkwy Suite Ll325 Leesburg |
| State: | VA US |
| Postal Code: | 201765102 |
| Phone Number: | 5712063525 |
| Fax Number: | 7036564923 |
| NPI Enumeration Date: | 06/30/2014 |
| NPI Last Update Date: | 06/30/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 253Z00000X |
| License Number: | HCO-14965 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | In Home Supportive Care |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |