Healthcare Provider Details

I. General information

NPI: 1982231148
Provider Name (Legal Business Name): SNF LTC PARTNERS OF VIRGINIA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/26/2020
Last Update Date: 09/12/2024
Certification Date: 09/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2420 MAPLEWOOD AVE STE G
RICHMOND VA
23220-5700
US

IV. Provider business mailing address

PO BOX 11768
RICHMOND VA
23230-0168
US

V. Phone/Fax

Practice location:
  • Phone: 804-525-9484
  • Fax:
Mailing address:
  • Phone: 804-353-4000
  • Fax: 804-213-9783

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: JAMES L WRIGHT
Title or Position: PRESIDENT
Credential: MD
Phone: 804-543-2120