# HP/STANDARDSVILLE, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Evergreene Nursing Care Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205025020
- **Authorized official:** DOUGLAS K MITTLEIDER (PRESIDENT)
- **Authorized official phone:** (770) 619-0866

## Contact information

- **Practice address:** 355 WILLIAM MILLS DR, STANARDSVILLE, VA 22973-3055
- **Practice address phone:** (434) 985-4434
- **Practice address fax:** (434) 985-2499
- **Mailing address:** 355 WILLIAM MILLS DR, STANARDSVILLE, VA 22973-3055
- **Mailing address phone:** (434) 985-4434
- **Mailing address fax:** (434) 985-2499

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | NH2551 | VA | Yes |

## Other

- **Enumeration date:** 10/17/2007
- **Last updated:** 07/25/2008