NPI 1053347476

Commonwealth of Virginia Dept of Mental Health and Northern Virginia T

Organisation Intellectual Disabilities Intermediate Care Facility Fairfax, VA

Practice location

Address: 9901 Braddock Rd, Fairfax, VA 22032-1904
Phone: (703) 323-4000
Fax: (703) 323-4252

Authorised official

Name: Mark S Diorio
Title: Facility Director
Phone: (703) 323-4002

Registered specialties (3)

Intellectual Disabilities Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 315P00000X

Other Intermediate Care Facility, Intellectual Disabilities providers in Virginia →

Hospitalist Physician

Allopathic & Osteopathic Physicians Taxonomy 208M00000X

Other Hospitalist providers in Virginia →

Intellectual and/or Developmental Disabilities Residential Treatment Facility

Residential Treatment Facilities Taxonomy 320600000X

Other Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Virginia →

Registry record

NPI: 1053347476
Entity type: Organization
NPI issued: 25 Jun 2006
Record last updated: 19 Jun 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.