NPI | 1588711626 |
---|---|
Entity Type | Organization |
Authorized Contact | JESSICA VIDAL Registered Nurse 703-805-0606 |
Organization Subpart ? | No |
Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: VA 0001139923) |
Enumeration Date | 2007-01-04 |
Last Update Date | 2020-08-22 |