| NPI | 1730187048 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM VAN THIEL Administrator 540-982-2860 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: VA NH2711) |
| Enumeration Date | 2005-07-11 |
| Last Update Date | 2007-11-08 |