# CSP NOVA LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Dulles Health & Rehab Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538473418
- **Authorized official:** JOSEPH ANTHONY ALESANTRINO (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (540) 725-8910

## Contact information

- **Practice address:** 2978 CENTREVILLE ROAD, HERNDON, VA 20171-6253
- **Practice address phone:** (703) 934-5000
- **Practice address fax:** (703) 934-5092
- **Mailing address:** 5372 FALLOWATER LN, SUITE 200, ROANOKE, VA 24018-0907
- **Mailing address phone:** (540) 725-8910
- **Mailing address fax:** (540) 725-8914

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | NH2594 | VA | Yes |

## Other

- **Enumeration date:** 08/03/2010
- **Last updated:** 08/31/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 004951743 | — | VA |