| NPI | 1497098008 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN DOYLE Director Of Nursing 703-578-7260 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: VA NH2559) |
| Additional Taxonomies | 310400000X Assisted Living Facility (Licence: VA ALF 447573-L155) |
| Enumeration Date | 2013-04-02 |
| Last Update Date | 2013-04-02 |