NPI 1306275805

Pram Mount Vernon Te LLC

Organisation Assisted Living Facility Alexandria, VA

Practice location

Address: 3709 Shannons Green Way, Alexandria, VA 22309-3659
Phone: (703) 780-7100
Fax: (703) 780-5771
Mailing address: 515 Plainfield Ave STE 200, Edison, NJ 08817-2598

Authorised official

Name: Tom Vellis
Title: Cfo
Phone: (732) 582-0400

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X Licence ALF 1104029-L152 (VA)

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Registry record

NPI: 1306275805
Entity type: Organization
NPI issued: 5 Nov 2013
Record last updated: 5 Nov 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.