| NPI | 1588677959 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEDDIGHEH A. FEISEE Owner 703-569-4133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101025770) |
| Additional Taxonomies | 310400000X Assisted Living Facility (Licence: VA 0101025770) |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2024-07-24 |