Organization
KEOUGH SENIOR LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRANCIS PATRICK KEOUGH II R.M.A. (CEO)
(703) 579-9972
Entity
Organization
Contact information
Practice address
4308 LEES CORNER RD, CHANTILLY, VA 20151-2824
(703) 579-9972
(703) 817-1574
Mailing address
4308 LEES CORNER RD, CHANTILLY, VA 20151-2824
(703) 579-9972
(703) 817-1574
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
FLO-1104065-L153
VA
Other
Enumeration date
07/20/2010
Last updated
07/20/2010
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