| NPI | 1669440715 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONI F PIERCE Administrator 540-586-7658 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: VA NH2499) |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2014-04-28 |