Organization
NORTHERN VIRGINIA HEALTH CENTER COMMISSION
Active
Other names
BIRMINGHAM GREEN
Organization subpart
No
Provider details
NPI number
Authorized official
PERRY MASON (CFO)
(703) 257-0935
Entity
Organization
Contact information
Practice address
8605 CENTREVILLE RD, MANASSAS, VA 20110-5265
(703) 257-0935
(703) 257-6242
Mailing address
8605 CENTREVILLE RD, MANASSAS, VA 20110-5265
(703) 257-0935
(703) 257-6242
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
NH2507
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004960645
—
VA
05
—
1477586550
—
VA
Enumeration date
07/09/2006
Last updated
01/15/2025
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