Organization · NPI-2

Depaul Va Opco LLC

Skilled Nursing Facility · Norfolk, VA

NPI number1730755778

StatusActive

Last updated in NPPESJun 2, 2021

Details

NPI: 1730755778
Entity type: Organization (NPI-2)
Legal business name: Depaul Va Opco LLC
Organization subpart: No
Enumeration date: Jun 1, 2021
Certification date: Jun 2, 2021
Last updated: Jun 2, 2021

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
314000000X	Skilled Nursing Facility	–	–	Yes
385H00000X	Respite Care	–	–

Other names

Karolwood Gardens At Norfolk (Doing Business As)

Practice location

6403 Granby St
Norfolk, VA 23505-4447

Phone 757-451-2400

Mailing address

980 Sylvan Ave
Englewood Cliffs, NJ 07632-3301

Phone 757-451-2400

Authorized official

Devora Kirschner
Vp Of Administrative Services
7574512400

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