Organization
MORNINGSIDE HOUSE OF LEESBURG
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY MASON (PRESIDENT AND CEO)
(703) 669-1804
Entity
Organization
Contact information
Practice address
316 HARRISON ST SE, LEESBURG, VA 20175-3719
(703) 777-2777
Mailing address
316 HARRISON ST SE, LEESBURG, VA 20175-3719
(703) 777-2777
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
FLO-1097320-L155
VA
Other
Enumeration date
02/24/2012
Last updated
02/24/2012
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