Provider Demographics
NPI:1669684429
Name:VINSON HALL CORPORAION
Entity Type:Organization
Organization Name:VINSON HALL CORPORAION
Other - Org Name:VINSON HALL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:COO
Authorized Official - Prefix:MS
Authorized Official - First Name:TYNA
Authorized Official - Middle Name:L
Authorized Official - Last Name:GAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:CPA
Authorized Official - Phone:703-538-2971
Mailing Address - Street 1:6251 OLD DOMINION DR
Mailing Address - Street 2:
Mailing Address - City:MCLEAN
Mailing Address - State:VA
Mailing Address - Zip Code:22101-4827
Mailing Address - Country:US
Mailing Address - Phone:703-536-4344
Mailing Address - Fax:703-538-2999
Practice Address - Street 1:6251 OLD DOMINION DR
Practice Address - Street 2:
Practice Address - City:MCLEAN
Practice Address - State:VA
Practice Address - Zip Code:22101-4827
Practice Address - Country:US
Practice Address - Phone:703-536-4344
Practice Address - Fax:703-538-2999
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility