| NPI | 1700863636 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID R ABRAHAM Vice President 757-420-2512 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: VA NH2504) |
| Enumeration Date | 2005-12-30 |
| Last Update Date | 2009-08-13 |