Provider Demographics
NPI:1831686484
Name:TWENTY PACK MANAGEMENT CORP
Entity type:Organization
Organization Name:TWENTY PACK MANAGEMENT CORP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:AMANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:STERMER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-534-2700
Mailing Address - Street 1:330 NORTH WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22046-3431
Mailing Address - Country:US
Mailing Address - Phone:703-534-2700
Mailing Address - Fax:703-536-1290
Practice Address - Street 1:330 NORTH WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22046-3431
Practice Address - Country:US
Practice Address - Phone:703-534-2700
Practice Address - Fax:703-536-1290
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-19
Last Update Date:2018-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility