NPI 1295998458

Province Place

Organisation Assisted Living Facility Norfolk, VA

Practice location

Address: 6403 Granby St, Norfolk, VA 23505-4447
Phone: (757) 451-2400

Authorised official

Name: Marj Pantone
Title: Administrator
Phone: (757) 451-2400

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X

Other Assisted Living Facility providers in Virginia →

Registry record

NPI: 1295998458
Entity type: Organization
NPI issued: 8 Jul 2008
Record last updated: 8 Jul 2008

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.