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NPI Code Detail

MEDICARE: VIRGINIA VETERANS CARE CENTER

MEDICARE: VIRGINIA VETERANS CARE CENTER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing FacilityNH2711VA

General Provider Information

NPI Number : 1730187048
Entity Type Code : Organization
Provider Name (Legal Business Name) : VIRGINIA VETERANS CARE CENTER
Provider Business Mailing Address
First Line : 4550 SHENANDOAH AVE NW
Second Line :
City : ROANOKE
State : VA
Zip : 24017-4749
Country : US
Telephone Number : 540-982-2860
Fax Number : 540-982-8667
Provider Business Practice Location Address
First Line : 4550 SHENANDOAH AVE NW
Second Line :
City : ROANOKE
State : VA
Zip : 24017-4749
Country : US
Telephone Number : 540-982-2860
Fax Number : 540-982-8667
Authorized Official
Title or Position : ADMINISTRATOR
Name : MR. WILLIAM VAN THIEL
Credential :
Telephone Number : 540-982-2860
Provider Enumeration Date : 07/11/2005
Last Update Date : 11/08/2007

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Directions to “VIRGINIA VETERANS CARE CENTER ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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