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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:

PrimaryCodeCategory/DescriptionStateLicense Number
Y310400000XNursing & Custodial Care Facilities
Assisted Living Facility
VAWL0041025191

Other Provider Identifiers:

IssuerNumberStateType
005003369VA05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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