# SENTARA LIFE CARE CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Sentara Nursing Center Norfolk
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093706806
- **Authorized official:** BRUCE ROBERTSON (VICE PRESIDENT SENTARA LIFE CARE)
- **Authorized official phone:** (757) 892-5400

## Contact information

- **Practice address:** 249 S NEWTOWN RD, NORFOLK, VA 23502-5718
- **Practice address phone:** (757) 892-5500
- **Practice address fax:** (757) 892-5514
- **Mailing address:** 251 S NEWTOWN RD, NORFOLK, VA 23502-5718
- **Mailing address phone:** (757) 892-5400
- **Mailing address fax:** (757) 892-5401

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | NH2681 | VA | Yes |

## Other

- **Enumeration date:** 11/01/2005
- **Last updated:** 05/06/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 49-5173-5 | — | VA |
| 05 | — | 49-6017-3 | — | VA |