Healthcare Provider Details

I. General information

NPI: 1487292678
Provider Name (Legal Business Name): VAS ADULT DAY CARE CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/18/2019
Last Update Date: 12/18/2019
Certification Date: 12/18/2019
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12621 OLD COLUMBIA PIKE
SILVER SPRING MD
20904
US

IV. Provider business mailing address

12621 OLD COLUMBIA PIKE
SILVER SPRING MD
20904
US

V. Phone/Fax

Practice location:
  • Phone: 301-646-5852
  • Fax: 240-556-0329
Mailing address:
  • Phone: 301-646-5852
  • Fax: 240-556-0329

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: THO TRAN
Title or Position: PROGRAM DIRECTOR
Credential:
Phone: 301-646-5852