| NPI | 1154535334 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA LYNN BUTLER President Administrator 703-538-2400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: VA NH2656) |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2020-08-22 |