SUMMERVILLE AT PRINCE WILLIAM, INC
Alzheimer Center
Woodbridge, Virginia
Provider NPI: 1104034412
Organization Information:Organization Name: SUMMERVILLE AT PRINCE WILLIAM, INC
Practice Location:
3940 PRINCE WILLIAM PKWY WOODBRIDGE, VA 22192 US
Tel: 703-680-0600 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Practice Location:
3940 PRINCE WILLIAM PKWY WOODBRIDGE, VA 22192 US
Tel: 703-680-0600 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 311500000X | Nursing & Custodial Care Facilities Alzheimer Center (Dementia Center) | VA | WLO-03-780 |
Y | 310400000X | Nursing & Custodial Care Facilities Assisted Living Facility | VA | WLO-03-780 |