| NPI | 1497761175 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT K DEMARIA Administrator 703-360-4000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: VA NH2634) |
| Additional Taxonomies | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: VA NH2634) |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2010-09-28 |