Organization
WOODBRIDGE SH LESSEE, LLC
Active
Parent organization
WOODBRIDGE SH LESSEE, LLC
Other names
HarborChase of Prince William Commons, Arbor Terrace Prince William Commons
Organization subpart
Yes
Provider details
NPI number
Legal business name
WOODBRIDGE SH LESSEE, LLC
Authorized official
SUSAN L HAYNES (EXECUTIVE DIRECTOR)
(703) 721-8801
Entity
Organization
Contact information
Practice address
14080 CENTRAL LOOP, WOODBRIDGE, VA 22193-1438
(703) 721-8801
(571) 285-2274
Mailing address
14080 CENTRAL LOOP, WOODBRIDGE, VA 22193
(703) 721-8801
(571) 285-2274
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ALF1105083
ASSISTED LIVING AND MEMORY CARE
VA
Enumeration date
04/23/2019
Last updated
02/09/2023
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