| NPI | 1164485975 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONGANTY BORBOR CEO 703-237-1388 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3140N1450X Skilled Nursing Facility, Nursing Care, Pediatric (Licence: VA HCO-349) |
| Enumeration Date | 2006-04-11 |
| Last Update Date | 2022-07-21 |