Organization
ARLINGTON VOA ALR OPERATING, INC.
Active
Other names
Mary Marshall Residence
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY GAVIN (ASSISTANT SECRETARY)
(952) 983-4249
Entity
Organization
Contact information
Practice address
2000 5TH ST S, ARLINGTON, VA 22204-1902
(571) 527-5000
(571) 527-5015
Mailing address
7530 MARKET PLACE DR, EDEN PRAIRIE, MN 55344-3636
(952) 983-4249
(952) 941-0428
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
1104252L155
VA
Other
Enumeration date
04/20/2016
Last updated
04/20/2016
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