| NPI | 1306185020 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVERTA ANN BOONE Occupational Assistant 804-717-8367 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: VA 3) |
| Additional Taxonomies | 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances (Licence: VA 3) |
| Enumeration Date | 2013-02-01 |
| Last Update Date | 2022-07-21 |