# SP GRAYSON, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Grayson Nursing & Rehabilitation Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457396426
- **Authorized official:** JOSEPH CONTE (CHIEF OPERATING OFFICER)
- **Authorized official phone:** (407) 571-1550

## Contact information

- **Practice address:** 400 S INDEPENDENCE AVE, INDEPENDENCE, VA 24348-3857
- **Practice address phone:** (276) 773-0303
- **Practice address fax:** (276) 773-0404
- **Mailing address:** 800 CONCOURSE PKWY S, SUITE 200, MAITLAND, FL 32751-6148
- **Mailing address phone:** (407) 571-1550
- **Mailing address fax:** (407) 571-1599

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | NH2739 | VA | Yes |

## Other

- **Enumeration date:** 06/16/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 4953312 | — | VA |