Organization
CARE GSL RICHMOND OPCO LLC
Active
Other names
Greenfield Residences at Monument Avenue
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MATHEW PEPONIS (CEO)
(804) 257-7949
Entity
Organization
Contact information
Practice address
6312 SEVEN CORNERS CENTER #161, FALLS CHURCH, VA 22044
(703) 692-9125
(703) 237-5609
Mailing address
501 N. ALLEN AVE, RICHMOND, VA 23220
(804) 257-7949
(804) 257-7949
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
ALF1104427
VA
Other
Enumeration date
12/01/2014
Last updated
12/01/2014
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