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NPI Code Detail

MEDICARE: OAKWOOD LIVING CENTER OF VIRGINIA

MEDICARE: OAKWOOD LIVING CENTER OF VIRGINIA
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 FacilityNH2646VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1227694OTHERVAANTHEM BLUE CROSS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1235142522
Entity Type Code : Organization
Provider Name (Legal Business Name) : OAKWOOD LIVING CENTER OF VIRGINIA
Provider Business Mailing Address
First Line : 5520 INDIAN RIVER RD
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23464-5217
Country : US
Telephone Number : 757-420-3600
Fax Number :
Provider Business Practice Location Address
First Line : 5520 INDIAN RIVER ROAD
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23464-5217
Country : US
Telephone Number : 757-420-3600
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : LARRY BONDS
Credential :
Telephone Number : 317-887-6311
Provider Enumeration Date : 08/15/2006
Last Update Date : 10/25/2010

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Directions to “OAKWOOD LIVING CENTER OF VIRGINIA ” Practice Location

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