Provider Demographics
NPI:1902304884
Name:NOVA ADULT DAY CARE CENTER, INC
Entity Type:Organization
Organization Name:NOVA ADULT DAY CARE CENTER, INC
Other - Org Name:NOVA ADULT DAY CARE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JIHONG
Authorized Official - Middle Name:
Authorized Official - Last Name:WANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-433-8888
Mailing Address - Street 1:44675 CAPE CT STE 130
Mailing Address - Street 2:
Mailing Address - City:ASHBURN
Mailing Address - State:VA
Mailing Address - Zip Code:20147-6230
Mailing Address - Country:US
Mailing Address - Phone:703-433-8888
Mailing Address - Fax:703-433-1111
Practice Address - Street 1:44675 CAPE CT STE 130
Practice Address - Street 2:
Practice Address - City:ASHBURN
Practice Address - State:VA
Practice Address - Zip Code:20147-6230
Practice Address - Country:US
Practice Address - Phone:703-433-8888
Practice Address - Fax:703-433-1111
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-25
Last Update Date:2021-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care