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NPI Code Detail

MEDICARE: VIRGINIA MENNONITE HOME, INC.

MEDICARE: VIRGINIA MENNONITE HOME, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing FacilityNH2643VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1013943133
Entity Type Code : Organization
Provider Name (Legal Business Name) : VIRGINIA MENNONITE HOME, INC.
Provider Business Mailing Address
First Line : 1501 VIRGINIA AVE
Second Line :
City : HARRISONBURG
State : VA
Zip : 22802-2452
Country : US
Telephone Number : 540-564-3400
Fax Number : 540-564-3700
Provider Business Practice Location Address
First Line : 1475 VIRGINIA AVE
Second Line :
City : HARRISONBURG
State : VA
Zip : 22802-2433
Country : US
Telephone Number : 540-564-3400
Fax Number : 540-564-3750
Authorized Official
Title or Position : CFO
Name : CURTIS STUTZMAN
Credential :
Telephone Number : 540-564-3400
Provider Enumeration Date : 06/23/2006
Last Update Date : 02/27/2013

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