MEDICARE: PRINCESS ANNE H&R OPS LIMITED PARTNERSHIP

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
1	314000000X	Skilled Nursing Facility		VA

General Provider Information

NPI Number	:	1184016024
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PRINCESS ANNE H&R OPS LIMITED PARTNERSHIP

Provider Business Mailing Address
First Line	:	1948 LANDSTOWN CENTRE WAY
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23456-1624
Country	:	US
Telephone Number	:	757-821-7500
Fax Number	:	757-821-7499

Provider Business Practice Location Address
First Line	:	1948 LANDSTOWN CENTRE WAY
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23456-1624
Country	:	US
Telephone Number	:	757-821-7500
Fax Number	:	757-821-7499

Authorized Official
Title or Position	:	VP OF REIMBURSEMENT
Name	:	MRS. CAROL R. KROBOTH
Credential	:
Telephone Number	:	540-776-7535

Provider Enumeration Date	:	03/02/2015
Last Update Date	:	09/01/2015

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