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NPI Code Detail

MEDICARE: ENVOY OF STAUNTON, LLC

MEDICARE: ENVOY OF STAUNTON, LLC
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
1310400000XAssisted Living Facility

General Provider Information

NPI Number : 1629215652
Entity Type Code : Organization
Provider Name (Legal Business Name) : ENVOY OF STAUNTON, LLC
Provider Business Mailing Address
First Line : 800 CONCOURSE PKWY S
Second Line : SUITE 200
City : MAITLAND
State : FL
Zip : 32751-6152
Country : US
Telephone Number : 407-571-1550
Fax Number : 407-571-1599
Provider Business Practice Location Address
First Line : 512 HOUSTON ST
Second Line :
City : STAUNTON
State : VA
Zip : 24401-3525
Country : US
Telephone Number : 540-886-2335
Fax Number : 540-886-0781
Authorized Official
Title or Position : CHIEF OPERATING OFFICER
Name : JOSEPH CONTE
Credential :
Telephone Number : 407-571-1550
Provider Enumeration Date : 01/13/2009
Last Update Date : 01/13/2009

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Directions to “ENVOY OF STAUNTON, LLC ” Practice Location

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