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NPI Code Detail

MEDICARE: LONGTERM CARE ASSOCIATES INC.

MEDICARE: LONGTERM CARE ASSOCIATES 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
1313M00000XNursing Facility/Intermediate Care FacilityNH2730VA

General Provider Information

NPI Number : 1245280015
Entity Type Code : Organization
Provider Name (Legal Business Name) : LONGTERM CARE ASSOCIATES INC.
Provider Business Mailing Address
First Line : 1604 OLD DONATION PKWY
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23454-3063
Country : US
Telephone Number : 757-496-7100
Fax Number : 757-481-1589
Provider Business Practice Location Address
First Line : 1604 OLD DONATION PKWY
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23454-3063
Country : US
Telephone Number : 757-496-7100
Fax Number : 757-481-1589
Authorized Official
Title or Position : PRESIDENT
Name : MRS. MARY L BLUNT
Credential :
Telephone Number : 757-892-5400
Provider Enumeration Date : 05/11/2006
Last Update Date : 08/22/2020

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