| NPI | 1366188112 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIANA GLORIA ELYSEE Speech Language Pathologist 540-497-3245 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2022-05-05 |
| Last Update Date | 2022-05-05 |