| NPI | 1417944315 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE LEIGH BOLDY CFO 757-599-7422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: VA NH2597) |
| Enumeration Date | 2005-10-05 |
| Last Update Date | 2020-08-28 |