Organization · Type 2 NPI
Keough Senior Living LLC
Assisted Living Facility · Chantilly, VA
NPI number
1992018881
Active
Practice location
4308 Lees Corner Rd
Chantilly, VA 20151-2824
Fax (703) 817-1574
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility Primary | 310400000X | FLO-1104065-L153 (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.
About NPI 1992018881
Keough Senior Living LLC's National Provider Identifier is 1992018881, issued on Jul 20, 2010. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Chantilly, VA. The record was last updated on Jul 20, 2010.