# GL VIRGINIA PORTSMOUTH, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Portsmouth Health and Rehab
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497299275
- **Authorized official:** DAVID RUBENSTEIN (PRESIDENT AND CEO)
- **Authorized official phone:** (404) 786-8528

## Contact information

- **Practice address:** 900 LONDON BLVD, PORTSMOUTH, VA 23704-2236
- **Practice address phone:** (757) 393-6864
- **Practice address fax:** (757) 393-4786
- **Mailing address:** 900 LONDON BLVD, PORTSMOUTH, VA 23704-2236
- **Mailing address phone:** (757) 393-6864
- **Mailing address fax:** (757) 393-4786

## Taxonomy

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

## Other

- **Enumeration date:** 12/13/2016
- **Last updated:** 12/13/2016