| NPI | 1316199466 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTI BLAKE Administrator 540-443-3447 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: VA 4960785) |
| Enumeration Date | 2008-10-21 |
| Last Update Date | 2008-10-21 |