# AVANTE AT WAYNESBORO, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215010277
- **Authorized official:** MS. LISA WILSON (PRESIDENT)
- **Authorized official phone:** (954) 987-7180

## Contact information

- **Practice address:** 1221 ROSSER AVE, WAYNESBORO, VA 22980-3336
- **Practice address phone:** (540) 949-7191
- **Practice address fax:** (540) 943-1738
- **Mailing address:** 4601 SHERIDAN STREET, SUITE 500, HOLLYWOOD, FL 33021-3439
- **Mailing address phone:** (540) 949-7191
- **Mailing address fax:** (540) 943-1738

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | NH2492 | VA | Yes |

## Other

- **Enumeration date:** 10/23/2006
- **Last updated:** 11/14/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 4951476 | — | VA |
| 05 | — | 4960181 | — | VA |