Organization
SAVANNAH ASSISTED LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PATIMA JICHONAIA (MANAGER)
(571) 338-0418
Entity
Organization
Contact information
Practice address
8733 LAGRANGE ST, LORTON, VA 22079-1630
(571) 338-0418
Mailing address
8733 LAGRANGE ST, LORTON, VA 22079-1630
(571) 338-0418
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
1054841
VA
Other
Enumeration date
04/06/2011
Last updated
04/06/2011
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