| NPI | 1427386739 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LONG TRAN Lpn 757-650-5406 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: FL PN5186921) |
| Additional Taxonomies | 286500000X Military Hospital (Licence: VA 0002074774) |
| Enumeration Date | 2009-11-24 |
| Last Update Date | 2009-11-24 |