| NPI | 1548277734 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MYRTLE D FAULKNER Nursing Home Administrator 804-758-5260 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: VA NH2632) |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2020-08-22 |