| NPI | 1215352547 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA' B. LUCAS Owner 703-257-7000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 2214) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: VA 242225) |
| 314000000X Skilled Nursing Facility | |
| 314000000X Skilled Nursing Facility (Licence: VA 2214) | |
| Enumeration Date | 2014-02-24 |
| Last Update Date | 2022-07-21 |