| NPI | 1285989194 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VERLINE C HOPSON Owner/Mgr 804-439-0344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: VA 0002345) |
| Additional Taxonomies | 311ZA0620X Custodial Care Facility, Adult Care Home |
| 313M00000X Nursing Facility/Intermediate Care Facility | |
| 313M00000X Nursing Facility/Intermediate Care Facility | |
| Enumeration Date | 2012-07-17 |
| Last Update Date | 2012-07-17 |