BIRMINGHAM GREEN ADULT CARE RESIDENCE
Assisted Living Facility
Manassas, Virginia
Provider NPI: 1821006842
Organization Information:Organization Name: BIRMINGHAM GREEN ADULT CARE RESIDENCE
Practice Location:
8605 CENTREVILLE ROAD MANASSAS, VA 20110 US
Tel: 703-257-0935 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
8605 CENTREVILLE ROAD MANASSAS, VA 20110 US
Tel: 703-257-0935 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 310400000X | Nursing & Custodial Care Facilities Assisted Living Facility | VA | WL0041025191 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
005003369 | VA | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin