| NPI | 1477835569 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JHOEL MERCADO PT/Program Manager 703-360-4000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: VA 2202006445) |
| Enumeration Date | 2011-09-14 |
| Last Update Date | 2011-11-29 |