| NPI | 1912032012 |
|---|---|
| Other Name | COMMONWEALTH CARE CENTER |
| Entity Type | Organization |
| Authorized Contact | ROBERT HAGER Senior Adminstrator 703-279-4252 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: VA NH2594) |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2010-11-18 |