Summerville At Prince William, Inc in Woodbridge - Alzheimer Center (dementia Center)
Summerville At Prince William, Inc - NPI 1104034412
Summerville At Prince William, Inc is a Alzheimer Center (dementia Center) in Woodbridge, Virginia. Summerville At Prince William, Inc practices all healthcare services and medical treatments related to Alzheimer Center (dementia Center). The NPI Number for Summerville At Prince William, Inc is 1104034412. The last update date is 2009-09-09.
Summerville At Prince William, Inc's current location address is 3940 Prince William Pkwy, Woodbridge, Virginia. You can contact this provider via phone number 7036800600 and fax number 7036800790. The mailing address for Summerville At Prince William, Inc is 3940 Prince William Pkwy, Woodbridge, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Summerville At Prince William, Inc |
|---|---|
| Address | 3940 Prince William Pkwy, Woodbridge, Virginia |
| Phone Number | 7036800600 |
| Fax Number | 7036800790 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | LICENSING |
|---|---|
| Authorized Official Name | Diaz Noelle |
| Telephone Number | 2062982909 |
NPI Number Detail
| NPI Number | 1104034412 |
|---|---|
| Provider Enumeration Date | 2007-05-18 |
| Last Updated Date | 2009-09-09 |
Provider Mailing Address Detail
| Address | 3940 Prince William Pkwy |
|---|---|
| City | Woodbridge |
| State | Virginia (VA) |
| Post Code | 221924513 |
| Phone Number | 7036800600 |
| Fax Number | 7036800790 |
Provider's Primary Taxonomy Detail
| Speciality | Alzheimer Center (dementia Center) |
|---|---|
| Taxonomy | 311500000X |
| Licence No | WLO-03-780 |
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Definition: A freestanding facility or special care unit of a long term care facility focusing on patient care of individuals diagnosed with dementia or Alzheimer's Disease or their related diseases. Six elements of the facility/unit set it apart from other (the |
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What is the unique identifier code issued to Summerville At Prince William, Inc by the Centers for Medicare & Medicaid Services?
The Summerville At Prince William, Inc has been assigned the NPI (National Provider Identifier) 1104034412. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Summerville At Prince William, Inc's physical address?
The Summerville At Prince William, Inc is physically located at 3940 Prince William Pkwy, in the city of Woodbridge, VA, with the postal code 221924513.
What is Summerville At Prince William, Inc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Summerville At Prince William, Inc's area of specialization is Alzheimer Center (dementia Center), and the corresponding taxonomy code that categorizes this field of practice is 311500000X.
When did Summerville At Prince William, Inc receive its 1104034412 assignment?
The Summerville At Prince William, Inc was assigned its 1104034412 on 2007-05-18, which is the date when this unique identifier was issued to the organization.
As of what date were the Summerville At Prince William, Inc's details last updated?
The information pertaining to the Summerville At Prince William, Inc, including its address, specialty, and other details, was most recently updated on 2009-09-09.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC