| NPI | 1427280387 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAZ COOPER DISLY CEO/Presiednt 757-771-7280 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251J00000X Nursing Care |
| Additional Taxonomies | 305S00000X Point of Service |
| 314000000X Skilled Nursing Facility (Licence: VA 376G00000) | |
| Enumeration Date | 2009-08-11 |
| Last Update Date | 2009-08-11 |