Pavilion Pace, LLC
Pavilion Pace, LLC is a PACE Provider Organization in Annandale, Virginia. Registered with an NPI since 2025.
- In the registry since
- 2025
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
4115 Annandale Rd Ste 100Annandale, VA 22003-2583
Phone: (240) 346-7488
Fax: (703) 226-5604
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| PACE Provider Organization (primary) | Taxonomy 251T00000X |
|---|
Record details
| NPI number | 1164310496 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Gibson Erhunmwunse — Ceo · (240) 346-7488 |
| NPI enumerated | June 25, 2025 |
| Last updated in NPPES | June 25, 2025 |
| Certification date | June 25, 2025 |
| Mailing address | 4115 Annandale Rd Ste 100, Annandale, VA 22003-2583 |