# ARDEN COURTS OF ANNANDALE VA, LLC

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

## Provider details

- **NPI number:** 1861657439
- **Authorized official:** MR. BARRY A LAZARUS (VICE PRESIDENT - REIMBURSEMENT)
- **Authorized official phone:** (419) 252-5541

## Contact information

- **Practice address:** 7104 BRADDOCK RD, ANNANDALE, VA 22003-6007
- **Practice address phone:** (703) 256-0882
- **Practice address fax:** (703) 256-8476
- **Mailing address:** 333 N SUMMIT ST, ATTN BARRY A LAZARUS, TOLEDO, OH 43604-1531
- **Mailing address phone:** (419) 252-5541
- **Mailing address fax:** (419) 254-5494

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311500000X | Alzheimer Center (Dementia Center) | FX. 08-059-L154 | VA | Yes |

## Other

- **Enumeration date:** 07/23/2008
- **Last updated:** 09/15/2008