| NPI | 1366989923 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILIP B CALUBAQUIB Administrator 703-791-0058 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances (Licence: VA ALF103941) |
| Enumeration Date | 2017-01-20 |
| Last Update Date | 2017-01-20 |