NPI 1114417946

Wmd Jamestown Operator, LLC

Organisation Assisted Living Facility Williamsburg, VA

Practice location

Address: 1807 Jamestown Rd, Williamsburg, VA 23185-2326
Phone: (757) 941-5099
Mailing address: 4882 N Convent St, Bourbonnais, IL 60914-1461

Authorised official

Name: Joellen Bleavins
Title: President of Management Agent
Phone: (815) 935-1992

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X

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Registry record

NPI: 1114417946
Entity type: Organization
NPI issued: 17 May 2018
Record last updated: 22 May 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.