| NPI | 1063437010 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORYN DUNCAN-MARCIL Administrator 757-495-4211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: VA NH2623) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2020-08-22 |