Provider Demographics
NPI:1164625984
Name:BRIAR OAK INVESTMENTS III LLC
Entity Type:Organization
Organization Name:BRIAR OAK INVESTMENTS III LLC
Other - Org Name:THE WILLOWS AT MEADOW BRANCH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:M
Authorized Official - Last Name:DUVALL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:540-667-3000
Mailing Address - Street 1:1881 HARVEST DR
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:22601-6350
Mailing Address - Country:US
Mailing Address - Phone:540-667-3000
Mailing Address - Fax:540-667-2174
Practice Address - Street 1:1881 HARVEST DR
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:VA
Practice Address - Zip Code:22601-6350
Practice Address - Country:US
Practice Address - Phone:540-667-3000
Practice Address - Fax:540-667-2174
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA1032821310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility