Healthcare Provider Details

I. General information

NPI: 1881631943
Provider Name (Legal Business Name): SHELTERING ARMS HOSPITAL SOUTH, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/31/2006
Last Update Date: 03/23/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13700 SAINT FRANCIS BLVD
MIDLOTHIAN VA
23114-3267
US

IV. Provider business mailing address

8254 ATLEE RD
MECHANICSVILLE VA
23116-1844
US

V. Phone/Fax

Practice location:
  • Phone: 804-342-4358
  • Fax: 804-342-4316
Mailing address:
  • Phone: 804-342-4358
  • Fax: 804-342-4316

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code283X00000X
TaxonomyRehabilitation Hospital
License NumberH1927
License Number StateVA

VIII. Authorized Official

Name: MARY ZWEIFEL
Title or Position: PRESIDENT AND CEO
Credential:
Phone: 804-342-4325