| 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 |