Organization · Type 2 NPI

Summerville at Prince William, Inc

Assisted Living Facility · Woodbridge, VA

NPI number 1104034412 Active

Practice location

3940 Prince William Pkwy
Woodbridge, VA 22192-4513

Call (703) 680-0600 Map

Fax (703) 680-0790

Mailing address

3131 Elliott Ave, Suite 500
Seattle, WA 98121-1032

Specialties and licenses

TaxonomyCodeLicense
Assisted Living Facility Primary 310400000XWLO-03-780 (VA)
Alzheimer Center (Dementia Center) 311500000XWLO-03-780 (VA)

Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

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About NPI 1104034412

Summerville at Prince William, Inc's National Provider Identifier is 1104034412, issued on May 18, 2007. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Woodbridge, VA. The record was last updated on Sep 9, 2009.