| NPI | 1790767259 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARL KEFFER Administrator 434-634-6581 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility |
| Enumeration Date | 2005-11-18 |
| Last Update Date | 2016-07-15 |