| NPI | 1104171669 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA WHITE FRANCIS Occupational Therapy Assistant 804-520-1595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: VA 0131000628) |
| Enumeration Date | 2012-07-19 |
| Last Update Date | 2012-07-19 |