| NPI | 1629408513 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD J SHELLEY Administrator 804-231-1043 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: VA ALF4880) |
| Enumeration Date | 2013-11-14 |
| Last Update Date | 2013-11-14 |