NPI 1104167212
Inova Health Care Services
Practice location
- Address
- 4027b Olley Lane Braddock Glen, Fairfax, VA 22032
- Phone
- (703) 239-5888
- Mailing address
- 8110 Gatehouse Rd Suite 600, Falls Church, VA 22042-1252
Authorised official
- Name
- Robert Hager
- Title
- Avp
- Phone
- (703) 289-8651
Registered specialties
PACE Provider Organization
Primary
Registry record
- NPI
- 1104167212
- Entity type
- Organization
- NPI issued
- 14 Mar 2013
- Record last updated
- 14 Mar 2013
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.