| NPI | 1851362487 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONNIE COLLINS GRAY Director Of Reimbursement 276-694-7161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: VA NH2509) |
| Enumeration Date | 2006-01-31 |
| Last Update Date | 2020-08-22 |