Provider Demographics
NPI:1104984806
Name:ARMED FORCES RETIREMENT HOME
Entity type:Organization
Organization Name:ARMED FORCES RETIREMENT HOME
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:RADER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:202-730-3323
Mailing Address - Street 1:3700 N CAPITOL ST NW
Mailing Address - Street 2:KING HEALTH CENTER
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20011-8400
Mailing Address - Country:US
Mailing Address - Phone:202-730-3323
Mailing Address - Fax:202-730-3047
Practice Address - Street 1:3700 N CAPITOL ST NW
Practice Address - Street 2:KING HEALTH CENTER
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20011-8400
Practice Address - Country:US
Practice Address - Phone:202-730-3323
Practice Address - Fax:202-730-3047
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD21642311ZA0620X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home