Organization
VINSON HALL, LLC
Active
Other names
Arleigh Burke Pavilion
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT CLEMENTS (CFO)
(703) 538-2971
Entity
Organization
Contact information
Practice address
1739 KIRBY RD, MC LEAN, VA 22101-4817
(703) 506-6900
Mailing address
6251 OLD DOMINION DR, MC LEAN, VA 22101-4827
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
FLO676570L154
VA
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
NH2480
VA
Other
Enumeration date
07/18/2011
Last updated
07/18/2011
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