Healthcare Provider Details

I. General information

NPI: 1346323573
Provider Name (Legal Business Name): ESSEX REHABILITATION AND CARE CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/23/2006
Last Update Date: 07/29/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1150 MARSH STREET
TAPPAHANNOCK VA
22560-6515
US

IV. Provider business mailing address

1150 MARSH STREET
TAPPAHANNOCK VA
22560-6515
US

V. Phone/Fax

Practice location:
  • Phone: 804-443-4308
  • Fax: 804-443-6425
Mailing address:
  • Phone: 804-443-4308
  • Fax: 804-443-6425

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License NumberVA2702
License Number StateVA

VIII. Authorized Official

Name: MR. BEN ATKINS
Title or Position: CEO
Credential:
Phone: 727-723-3000