Organization
SCARLET HAVEN ON AGING, LLC
Active
Other names
Scarlet Haven for the Aging
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA ANN BARDWELL (CHIEF ADMINISTRATIVE OFFICER)
(703) 490-1197
Entity
Organization
Contact information
Practice address
1346 OLD BRIDGE RD, SUITE 100, WOODBRIDGE, VA 22192-2743
(703) 490-1197
(703) 890-3122
Mailing address
1346 OLD BRIDGE RD, SUITE 100, WOODBRIDGE, VA 22192-2743
(703) 490-1197
(703) 890-3122
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/15/2014
Last updated
10/15/2014
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