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Organization
ENVOY OF FORK UNION, LLC
Active
Organization
ENVOY OF FORK UNION, LLC
Active
Other names
Envoy at the Village
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH USSERY (VP)
(407) 571-1550
Entity
Organization
Contact information
Practice address
4238 JAMES MADISON HIGHWAY, FORK UNION, VA 23055
(434) 842-2916
Mailing address
PO BOX 669, FORK UNION, VA 23055-0669
(434) 842-2916
(434) 842-5100
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1043464357
—
VA
Enumeration date
11/13/2008
Last updated
11/27/2023
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