Organization
BIRMINGHAM GREEN ADULT CARE RESIDENCE
Active
Other names
Birmingham Green
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID M RUMFORD MHA NHA CHE (CHIEF EXECUTIVE OFFICER)
(703) 257-0935
Entity
Organization
Contact information
Practice address
8605 CENTREVILLE ROAD, MANASSAS, VA 20110-8426
(703) 257-0935
(703) 257-6242
Mailing address
8605 CENTREVILLE ROAD, MANASSAS, VA 20110-8426
(703) 257-0935
(703) 257-6242
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
WL0041025191
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005003369
—
VA
Enumeration date
08/04/2006
Last updated
06/12/2008
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