| NPI | 1487963823 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NINA MUNGO Director Of Therapy Services 757-420-1485 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: VA 2306602919) |
| Enumeration Date | 2010-10-04 |
| Last Update Date | 2010-10-04 |