# DEWITT ARMY COMMUNITY HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588711626
- **Authorized official:** MRS. JESSICA VIDAL (REGISTERED NURSE)
- **Authorized official phone:** (703) 805-0606

## Contact information

- **Practice address:** 13605 BOTTNER CT, WOODBRIDGE, VA 22191-1900
- **Practice address phone:** (703) 805-0606
- **Mailing address:** 13605 BOTTNER CT, WOODBRIDGE, VA 22191-1900
- **Mailing address phone:** (703) 805-0606

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | 0001139923 | VA | Yes |

## Other

- **Enumeration date:** 01/04/2007
- **Last updated:** 08/22/2020