Healthcare Provider Details

I. General information

NPI: 1003134404
Provider Name (Legal Business Name): VHS REHAB AGENCY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/10/2010
Last Update Date: 05/10/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2841 HARTLAND RD STE 307
FALLS CHURCH VA
22043-3500
US

IV. Provider business mailing address

2841 HARTLAND RD STE 307
FALLS CHURCH VA
22043-3500
US

V. Phone/Fax

Practice location:
  • Phone: 703-333-5288
  • Fax: 703-333-5952
Mailing address:
  • Phone: 703-333-5288
  • Fax: 703-333-5952

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0400X
TaxonomyRehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. BETTY COREY
Title or Position: DIRECTOR OF CLINICAL SERVICES
Credential: RN
Phone: 703-333-5288