Organization
BV/MSTAR CHEVY CHASE TENANT, LLC
Active
Other names
Chevy Chase House
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HENRY JAMES VAUGHN (REIMBURSEMENT ANALYST)
(240) 595-6025
Entity
Organization
Contact information
Practice address
5420 CONNECTICUT AVE NW, WASHINGTON, DC 20015-2800
(202) 686-5504
(202) 686-8677
Mailing address
5420 CONNECTICUT AVE NW, WASHINGTON, DC 20015-2800
(202) 686-5504
(202) 686-8677
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
12/21/2020
Last updated
12/21/2020
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