| NPI | 1396820098 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY HURLEY VP Of Administration/CFO 703-842-2321 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: VA 05801001, 05801003,) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2018-01-09 |