Bv/mstar Chevy Chase Tenant, LLC
NPI #1164019444 in Washington, District of Columbia
Provider Information
- NPI Number
- 1164019444
- Entity Type
- Organization
- Organization Name
- Bv/mstar Chevy Chase Tenant, LLC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Dec 21, 2020
- Last Updated
- Dec 21, 2020
Practice Location
- Address
- 5420 CONNECTICUT AVE NW
- City
- Washington
- State
- District of Columbia
- ZIP Code
- 20015-2800
- Phone
- (202) 686-5504
Authorized Official
- Name
- MR. HENRY JAMES VAUGHN
- Title
- REIMBURSEMENT ANALYST
- Phone
- (240) 595-6025
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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