Healthcare Provider Details

I. General information

NPI: 1710990825
Provider Name (Legal Business Name): MEDICAL FACILITIES OF AMERICA XI LIMITED PARTNERSHIP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/14/2006
Last Update Date: 03/23/2023
Certification Date: 03/13/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3710 LEE HWY
ARLINGTON VA
22207-3721
US

IV. Provider business mailing address

2917 PENN FOREST BLVD
ROANOKE VA
24018-4374
US

V. Phone/Fax

Practice location:
  • Phone: 703-243-7640
  • Fax: 703-524-3630
Mailing address:
  • Phone: 540-989-3618
  • Fax: 540-774-9443

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License NumberNH2533
License Number StateVA

VIII. Authorized Official

Name: HINDY SPIEGEL
Title or Position: CFO
Credential:
Phone: 540-776-7526