# SENTARA LIFE CARE CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SENTARA HEALTHCARE
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1104059047
- **Legal business name:** SENTARA HEALTHCARE
- **Authorized official:** MR. BRUCE S ROBERTSON (VP, ADMINISTRATOR)
- **Authorized official phone:** (757) 892-5400

## Contact information

- **Practice address:** 251 S NEWTOWN RD, NORFOLK, VA 23502-5718
- **Practice address phone:** (757) 892-5400
- **Practice address fax:** (757) 892-5401
- **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 |
| --- | --- | --- | --- | --- |
| 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | — | NULL | Yes |

## Other

- **Enumeration date:** 08/26/2009
- **Last updated:** 08/26/2009