| NPI | 1417954140 |
|---|---|
| Former Legal Business Name | FRIENDSHIP MANOR, INC. |
| Entity Type | Organization |
| Authorized Contact | C. MIKE SHANNON CFO 540-777-4044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: VA NH2558) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2014-12-29 |