Provider Demographics
NPI:1730535055
Name:ARIRANG SENIOR COMMUNITY SERVICES
Entity type:Organization
Organization Name:ARIRANG SENIOR COMMUNITY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:WAN
Authorized Official - Middle Name:
Authorized Official - Last Name:KIM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-543-6008
Mailing Address - Street 1:PO BOX 3002
Mailing Address - Street 2:
Mailing Address - City:WEST MCLEAN
Mailing Address - State:VA
Mailing Address - Zip Code:22103-3002
Mailing Address - Country:US
Mailing Address - Phone:703-298-2685
Mailing Address - Fax:703-543-0508
Practice Address - Street 1:5649 MOUNT GILEAD RD
Practice Address - Street 2:
Practice Address - City:CENTREVILLE
Practice Address - State:VA
Practice Address - Zip Code:20120-1906
Practice Address - Country:US
Practice Address - Phone:703-543-6008
Practice Address - Fax:703-543-0508
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-05
Last Update Date:2016-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care