Organization
VILLA BELLE MOON ASSISTED LIVING INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIE MONA VIVENS R.N (ASSISTED LIVING MANAGER)
(240) 644-8399
Entity
Organization
Contact information
Practice address
6305 TUCKERMAN LN, ROCKVILLE, MD 20852-3511
(240) 463-7196
Mailing address
6305 TUCKERMAN LN, ROCKVILLE, MD 20852-3511
(240) 463-7196
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
15AL0446-A
MD
Other
Enumeration date
10/12/2011
Last updated
10/12/2011
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