| NPI | 1891786570 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE WOMACK ELLIOTT Coordinator Third Party Payers 434-517-3156 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: VA H1853) |
| Enumeration Date | 2005-11-02 |
| Last Update Date | 2010-07-08 |