# CLARKSVILLE SENIOR CARE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Sentara MeadowView Terrace
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619974029
- **Authorized official:** MR. STEWART R. NELSON (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (434) 517-3183

## Contact information

- **Practice address:** 184 BUFFALO RD, CLARKSVILLE, VA 23927
- **Practice address phone:** (434) 374-4141
- **Practice address fax:** (434) 374-4491
- **Mailing address:** PO BOX 649, SOUTH BOSTON, VA 24592-0649
- **Mailing address phone:** (434) 517-3194
- **Mailing address fax:** (434) 517-3721

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | NH2745 | VA | Yes |

## Other

- **Enumeration date:** 06/30/2005
- **Last updated:** 02/02/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 4960793 | — | VA |