| NPI | 1265892574 |
|---|---|
| Other Name | FAYETTEVILLE VA CLC |
| Entity Type | Organization |
| Authorized Contact | ERIN POTTER Npi Team Member 202-382-2579 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2016-02-29 |
| Last Update Date | 2018-04-11 |