Provider Demographics
NPI:1083147094
Name:REBUILDING TOGETHER ARLINGTON/FAIRFAX/FALLS CHURCH
Entity Type:Organization
Organization Name:REBUILDING TOGETHER ARLINGTON/FAIRFAX/FALLS CHURCH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:KLEIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:571-933-6429
Mailing Address - Street 1:10723 MAIN ST # 135
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22030-6905
Mailing Address - Country:US
Mailing Address - Phone:703-528-1999
Mailing Address - Fax:703-528-1197
Practice Address - Street 1:10723 MAIN ST # 135
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22030-6905
Practice Address - Country:US
Practice Address - Phone:703-528-1999
Practice Address - Fax:703-528-1197
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-06
Last Update Date:2017-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies