Emeritus At Lake Ridge

LBN: Summerville At Prince William, Inc
Emeritus At Lake Ridge is an health care organization with primary practice located at 3940 Prince William Pkwy , Woodbridge VA 22192-4513. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Assisted Living Facility, Nursing & Custodial Care Facilities / Alzheimer Center (Dementia Center). Nursing & Custodial Care Facilities / Assisted Living Facility is the primary health care specialty. Summerville At Prince William, Inc can be contacted via phone (703) 680-0600, or through Diaz, Noelle via phone (206) 298-2909.

Contact Information

Primary practice address
3940 Prince William Pkwy Woodbridge VA 22192-4513
Phone: (703) 680-0600
Fax: (703) 680-0790
Website:
Map and Directions
Authorized official contact:
Name: Diaz, Noelle
Phone: (206) 298-2909

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X WLO-03-780 Virginia
Nursing & Custodial Care Facilities / Alzheimer Center (Dementia Center) 311500000X WLO-03-780 Virginia

Profile Details

NPI number 1104034412
LBN Legal business name Summerville At Prince William, Inc
DBA Doing business as Emeritus At Lake Ridge
Authorized official Diaz, Noelle
Entity Organization
Organization subpart 1 No
Enumeration date May 18th, 2007
Last updated Sep 9th, 2009 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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