Healthcare Provider Details

I. General information

NPI: 1669440715
Provider Name (Legal Business Name): BEDFORD COUNTY NURSING HOME
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/14/2006
Last Update Date: 04/28/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1229 COUNTY FARM RD
BEDFORD VA
24523-3131
US

IV. Provider business mailing address

1229 COUNTY FARM RD
BEDFORD VA
24523-3131
US

V. Phone/Fax

Practice location:
  • Phone: 540-586-7658
  • Fax: 540-587-5508
Mailing address:
  • Phone: 540-586-7658
  • Fax: 540-587-5508

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code313M00000X
TaxonomyNursing Facility/Intermediate Care Facility
License NumberNH2499
License Number StateVA

VIII. Authorized Official

Name: MRS. TONI F PIERCE
Title or Position: ADMINISTRATOR
Credential:
Phone: 540-586-7658