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Emporia Manor LLC

Nursing Facility/Intermediate Care Facility in Emporia, VA. Organization (NPI-2).

NPI number1790767259
StatusActive
Last updated in NPPESJul 15, 2016

Details

NPI
1790767259
Entity type
Organization (NPI-2)
Legal business name
Emporia Manor LLC
Organization subpart
No
Enumeration date
Nov 18, 2005
Last updated
Jul 15, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
313M00000X Nursing Facility/Intermediate Care Facility––Yes

Practice location

200 Weaver Ave
Emporia, VA 23847-1230

Phone 434-634-6581 · Fax 434-634-4069

Mailing address

200 Weaver Ave
Emporia, VA 23847-1230

Phone 434-634-6581 · Fax 434-634-4069

Authorized official

Karl Keffer
Administrator
4346346581

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