| NPI | 1235594854 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL LEIBOVICI President 757-373-8438 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: VA 0101237467) |
| Enumeration Date | 2015-12-24 |
| Last Update Date | 2016-02-29 |