| NPI | 1659792133 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA LYNNE STITH Registered Nurse 804-651-6654 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3140N1450X Skilled Nursing Facility, Nursing Care, Pediatric |
| Enumeration Date | 2013-12-30 |
| Last Update Date | 2013-12-30 |