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Organization
ALBEMARLE LIFECARE CORP
Active
Organization
ALBEMARLE LIFECARE CORP
Active
Other names
Heritage Hall Charlottesville
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TED A LENEAVE (PRESIDENT/COO)
(540) 774-4263
Entity
Organization
Contact information
Practice address
505 RIO RD W, CHARLOTTESVILLE, VA 22901-1411
(434) 978-7015
(434) 974-7882
Mailing address
505 RIO RD W, CHARLOTTESVILLE, VA 22901-1411
(434) 978-7015
(434) 974-7882
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH2572
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
153707
SOUTHERN HEALTH SVCS ID
VA
01
—
227277
ANTHEM BCBS PPO HMO ID
VA
05
—
4951786
—
VA
Enumeration date
10/27/2005
Last updated
08/22/2020
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