| NPI | 1700383189 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONY J. HARRIS Senior Reimbursement Manager 703-854-0830 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2018-04-11 |
| Last Update Date | 2024-12-17 |