Healthcare Provider Details

I. General information

NPI: 1730535055
Provider Name (Legal Business Name): ARIRANG SENIOR COMMUNITY SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/05/2016
Last Update Date: 05/05/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5649 MOUNT GILEAD RD
CENTREVILLE VA
20120-1906
US

IV. Provider business mailing address

PO BOX 3002
WEST MCLEAN VA
22103-3002
US

V. Phone/Fax

Practice location:
  • Phone: 703-543-6008
  • Fax: 703-543-0508
Mailing address:
  • Phone: 703-298-2685
  • Fax: 703-543-0508

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: WAN KIM
Title or Position: PRESIDENT
Credential:
Phone: 703-543-6008