Organization
SAMS SOCIAL HOUSE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARI R. JACOBS (EXECUTIVE DIRECTOR)
(703) 608-5801
Entity
Organization
Contact information
Practice address
13400 STREAM FARM LN, LEESBURG, VA 20176-5472
(703) 608-5801
Mailing address
20558 NORWICH PL, ASHBURN, VA 20147-2805
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
—
—
Other
Enumeration date
05/30/2026
Last updated
05/30/2026
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