MEDICARE: GEORGE WASHINGTON HEALTH & REHAB OF CHESAPEAKE, INC

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
1	314000000X	Skilled Nursing Facility

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1952370702
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GEORGE WASHINGTON HEALTH & REHAB OF CHESAPEAKE, INC

Provider Business Mailing Address
First Line	:	PO BOX 155635
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76155-0635
Country	:	US
Telephone Number	:	817-359-2000
Fax Number	:	817-359-2093

Provider Business Practice Location Address
First Line	:	1017 GEORGE WASHINGTON HWY.
Second Line	:
City	:	CHESAPEAKE
State	:	VA
Zip	:	23323
Country	:	US
Telephone Number	:	757-485-5500
Fax Number	:	757-485-3414

Authorized Official
Title or Position	:	CEO
Name	:	GARY R TREBERT
Credential	:
Telephone Number	:	817-359-2000

Provider Enumeration Date	:	03/15/2006
Last Update Date	:	08/22/2020

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