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Organization
CRYSTAL CITY NURSING CENTER, INC.
Active
Organization
CRYSTAL CITY NURSING CENTER, INC.
Active
Other names
Potomac Center
Organization subpart
No
Provider details
NPI number
Authorized official
JANE DROPESKEY (CORPORATE MANAGER)
(610) 925-4231
Entity
Organization
Contact information
Practice address
1785 S HAYES ST, ARLINGTON, VA 22202-2714
(703) 920-5700
(703) 979-8190
Mailing address
101 E STATE ST, KENNETT SQUARE, PA 19348-3109
(610) 925-4436
(610) 925-4351
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH2655
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004951140
—
VA
01
—
0082366
AETNA-HMO
—
01
—
02PV
CAREFIRST-PROV/INQ#
—
05
—
030909900
—
DC
01
—
147180
SOUTHERN HEALTH
—
01
—
241381
UNITED - MAMSI
—
01
—
47579
AMERIGROUP
—
01
—
7100077
UNITED - AMERICHOICE
—
01
—
H18
CAREFIRST BLUECHOICE
—
Enumeration date
06/17/2006
Last updated
08/17/2018
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