NPI 1205140100
Jill's House INC
Practice location
- Address
- 9011 Leesburg Pike, Vienna, VA 22182-1722
- Phone
- (703) 639-5662
- Mailing address
- PO Box 9104, Mc Lean, VA 22102-0104
Authorised official
- Name
- Mary Leidy
- Title
- Chief Administrative Officer
- Phone
- (703) 639-5667
Registered specialties (2)
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
Child Physical Disabilities Respite Care
Registry record
- NPI
- 1205140100
- Entity type
- Organization
- NPI issued
- 3 Aug 2010
- Record last updated
- 3 Aug 2010
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.