Organization
CRYSTAL CITY NURSING CENTER, INC.
Active
Other names
Potomac Center
Organization subpart
No
Provider details
NPI number
Authorized official
JANE DROPESKEY (CORPORATE MANAGER)
(610) 925-4231
Entity
Organization
Contact information
Practice address
1785 S HAYES ST, ARLINGTON, VA 22202-2714
(703) 920-5700
(703) 979-8190
Mailing address
101 E STATE ST, KENNETT SQUARE, PA 19348-3109
(610) 925-4436
(610) 925-4351
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH2655
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004951140
—
VA
01
—
0082366
AETNA-HMO
—
01
—
02PV
CAREFIRST-PROV/INQ#
—
05
—
030909900
—
DC
01
—
147180
SOUTHERN HEALTH
—
01
—
241381
UNITED - MAMSI
—
01
—
47579
AMERIGROUP
—
01
—
7100077
UNITED - AMERICHOICE
—
01
—
H18
CAREFIRST - IND/PPO
—
Enumeration date
06/17/2006
Last updated
08/17/2018
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