Organization · NPI-2
Bon Secours Depaul Medical Center INC
Skilled Nursing Facility · Norfolk, VA
NPI number1023028107
StatusActive
Last updated in NPPESMay 20, 2019
Details
- NPI
- 1023028107
- Entity type
- Organization (NPI-2)
- Legal business name
- Bon Secours Depaul Medical Center INC
- Organization subpart
- No
- Enumeration date
- Aug 9, 2006
- Last updated
- May 20, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | H 1829 | VA | Yes |
Other names
- Transitional Care Center At Depaul Medical Center (Doing Business As)
Practice location
150 Kingsley LnNorfolk, VA 23505-4602
Phone 757-889-3200 · Fax 757-889-3288
Mailing address
8580 Magellan PkwyRichmond, VA 23227-1149
Phone 804-627-5573 · Fax 866-449-0896
Authorized official
Karen Reich
Ceo
7275681016
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