| NPI | 1427054410 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUANITA PARKS Chief Financial Officer 757-565-6511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: VA NH2729) |
| Additional Taxonomies | 310400000X Assisted Living Facility (Licence: VA PLO040016) |
| 261QA0600X Clinic/Center, Adult Day Care | |
| Enumeration Date | 2005-06-23 |
| Last Update Date | 2023-11-27 |