Healthcare Provider Details

I. General information

NPI: 1013665116
Provider Name (Legal Business Name): EMPORIA NURSING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/17/2022
Last Update Date: 03/17/2022
Certification Date: 03/17/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

214 WEAVER AVE
EMPORIA VA
23847-1224
US

IV. Provider business mailing address

214 WEAVER AVE
EMPORIA VA
23847-1224
US

V. Phone/Fax

Practice location:
  • Phone: 434-348-2150
  • Fax: 434-348-2157
Mailing address:
  • Phone: 434-348-2150
  • Fax: 434-348-2157

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: RHONDA B NELSON
Title or Position: CONTROLLER
Credential:
Phone: 864-578-6599