Healthcare Provider Details

I. General information

NPI: 1265865349
Provider Name (Legal Business Name): ASSISTED LIVING CENTERS OF AMERICA,LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/13/2013
Last Update Date: 08/13/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1717 PENNSYLVANIA AVE NW STE 1025
WASHINGTON DC
20006-3951
US

IV. Provider business mailing address

1717 PENNSYLVANIA AVE NW STE 1025
WASHINGTON DC
20006-3951
US

V. Phone/Fax

Practice location:
  • Phone: 800-463-1641
  • Fax:
Mailing address:
  • Phone: 800-463-1641
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name: MR. DANIEL J CRAWFORD
Title or Position: MANAGER
Credential:
Phone: 202-241-3799