| NPI | 1093799439 |
|---|---|
| Doing Business As | SOUTH ROANOKE NURSING HOME |
| Entity Type | Organization |
| Authorized Contact | JAMES L HAINES Chief Compliance Officer & General 540-774-4263 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: VA 49-5002) |
| Enumeration Date | 2005-11-30 |
| Last Update Date | 2020-01-14 |