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NPI Code Detail

MEDICARE: ATRIA SENIOR LIVING GROUP, INC

MEDICARE: ATRIA SENIOR LIVING GROUP, 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
1310400000XAssisted Living Facility

General Provider Information

NPI Number : 1942504899
Entity Type Code : Organization
Provider Name (Legal Business Name) : ATRIA SENIOR LIVING GROUP, INC
Provider Business Mailing Address
First Line : 1628 OLD DONATION PKWY
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23454-3062
Country : US
Telephone Number : 757-496-8001
Fax Number :
Provider Business Practice Location Address
First Line : 1628 OLD DONATION PKWY
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23454-3062
Country : US
Telephone Number : 757-496-8001
Fax Number :
Authorized Official
Title or Position : CEO
Name : JOHN MOORE
Credential :
Telephone Number : 502-779-7608
Provider Enumeration Date : 01/07/2011
Last Update Date : 01/07/2011

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