| NPI | 1689616351 |
|---|---|
| Doing Business As | BEACON SHORES NURSING & REHABILITATION CENTER |
| Entity Type | Organization |
| Authorized Contact | THOMAS D JOHNSON President 423-478-5953 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: VA NH2616) |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2012-11-20 |