# SOUTH ROANOKE LIFE CARE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** South Roanoke Nursing Home, South Roanoke Nursing and Rehabilitation
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093799439
- **Authorized official:** CASSANDRA GALLANT (COMPLIANCE & PRIVACY OFFICER)
- **Authorized official phone:** (540) 774-4263

## Contact information

- **Practice address:** 3823 FRANKLIN RD SW, ROANOKE, VA 24014
- **Practice address phone:** (540) 344-4325
- **Practice address fax:** (540) 342-0316
- **Mailing address:** 3823 FRANKLIN RD SW, ROANOKE, VA 24014
- **Mailing address phone:** (540) 344-4325
- **Mailing address fax:** (540) 342-0316

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 49-5002 | VA | Yes |

## Other

- **Enumeration date:** 11/30/2005
- **Last updated:** 11/03/2025