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Organization
VIRGINIA HEALTH SERVICES, INC.
Active
Organization
VIRGINIA HEALTH SERVICES, INC.
Active
Other names
Coliseum Convalescent and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NICOLE LEIGH BOLDY CPA (CFO)
(757) 599-7422
Entity
Organization
Contact information
Practice address
305 MARCELLA RD, HAMPTON, VA 23666-2433
(757) 827-8953
(757) 838-3542
Mailing address
240 NAT TURNER BLVD S, NEWPORT NEWS, VA 23606-0020
(757) 596-6268
(757) 595-8625
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
NULL
314000000X
Skilled Nursing Facility
—
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004953053
—
VA
05
—
4953053
—
VA
Enumeration date
09/13/2005
Last updated
08/28/2020
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