NPI 1619968112

Sentara Life Care Corporation

Organisation Custodial Care Facility Virginia Beach, VA

Practice location

Address: 665 Newtown Rd, Virginia Beach, VA 23462-1683
Phone: (757) 502-7800
Fax: (757) 502-7801
Mailing address: 251 S Newtown Rd, Norfolk, VA 23502-5718

Authorised official

Name: Bruce Robertson
Title: Vice President Sentara Life Care
Phone: (757) 892-5400

Registered specialties

Custodial Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311Z00000X Licence ELO 2004-249 (VA)

Other Custodial Care Facility providers in Virginia →

Registry record

NPI: 1619968112
Entity type: Organization
NPI issued: 3 Nov 2005
Record last updated: 8 Apr 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.