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Organization
ARDEN COURTS OF ANNANDALE VA, LLC
Active
Organization
ARDEN COURTS OF ANNANDALE VA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BARRY A LAZARUS (VICE PRESIDENT - REIMBURSEMENT)
(419) 252-5541
Entity
Organization
Contact information
Practice address
7104 BRADDOCK RD, ANNANDALE, VA 22003-6007
(703) 256-0882
(703) 256-8476
Mailing address
333 N SUMMIT ST, ATTN BARRY A LAZARUS, TOLEDO, OH 43604-1531
(419) 252-5541
(419) 254-5494
Taxonomy
Speciality
Code
Description
License number
State
311500000X
Alzheimer Center (Dementia Center)
Primary
FX. 08-059-L154
VA
Other
Enumeration date
07/23/2008
Last updated
09/15/2008
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