| NPI | 1275945024 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAVANYE CHALLAPALLI Business Development Manager 703-798-7506 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: FL OT13327) |
| Enumeration Date | 2014-05-28 |
| Last Update Date | 2014-05-28 |