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Organization
AIR FORCE RETIRED OFFICERS COMMUNITY-WASHINGTON D.C.
Active
Organization
AIR FORCE RETIRED OFFICERS COMMUNITY-WASHINGTON D.C.
Active
Other names
The Johnson Center at Falcons Landing
Organization subpart
No
Provider details
NPI number
Authorized official
FRED RICHARD BOVA JR. (CFO)
(703) 404-5145
Entity
Organization
Contact information
Practice address
20535 EARHART PL, STERLING, VA 20165-3581
(703) 404-5208
Mailing address
20535 EARHART PL, POTOMAC FALLS, VA 20165-3581
(703) 404-5142
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH2600
VA
Other
Enumeration date
06/24/2005
Last updated
08/08/2024
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