| NPI | 1437128154 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES FRANCIS JACOBSEN Executive Director 540-825-2411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: VA NH2541) |
| Additional Taxonomies | 310400000X Assisted Living Facility (Licence: VA WLO055725) |
| 314000000X Skilled Nursing Facility | |
| Enumeration Date | 2006-03-15 |
| Last Update Date | 2023-01-27 |