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Organization
SUNNYSIDE PRESBYTERIAN HOME
Active
Organization
SUNNYSIDE PRESBYTERIAN HOME
Active
Other names
Summit Square Retirement Community
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL WHITE (CONTROLLER)
(540) 568-8237
Entity
Organization
Contact information
Practice address
501 OAK AVE, WAYNESBORO, VA 22980-4400
(540) 941-3100
(540) 941-3330
Mailing address
600 UNIVERSITY BLVD, HARRISONBURG, VA 22801-3763
(540) 568-8237
(540) 568-8248
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
1022567
VA
314000000X
Skilled Nursing Facility
Primary
NH2740
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4954051
—
VA
Enumeration date
10/18/2005
Last updated
05/26/2020
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