Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
WISE LIFE CARE, LLC
Active
Organization
WISE LIFE CARE, LLC
Active
Other names
Heritage Hall - Wise
Organization subpart
No
Provider details
NPI number
Authorized official
CASSANDRA GALLANT (COMPLIANCE & PRIVACY OFFICER)
(540) 774-4263
Entity
Organization
Contact information
Practice address
9434 COEBURN MOUNTAIN RD, WISE, VA 24293-5944
(276) 328-2721
(276) 328-1463
Mailing address
PO BOX 1009, WISE, VA 24293-1009
(276) 328-2721
(276) 328-1463
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH2583
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
180512
ANTHEM BCBS
—
01
—
200515608
FEDERAL BLACK LUNG
—
05
—
4953509
—
VA
Enumeration date
06/05/2018
Last updated
11/25/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers