| NPI | 1780903112 |
|---|---|
| Doing Business As | NORTHERN VIRGINIA COMMUNITY LIVING CENTER |
| Entity Type | Organization |
| Authorized Contact | RUSSELL KENT SNYDER President & CEO 301-459-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X (Licence: VA 17501001) |
| Enumeration Date | 2010-05-25 |
| Last Update Date | 2010-05-25 |