# VIRGINIA HEALTH SERVICES, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Coliseum Convalescent and Rehabilitation Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629063821
- **Authorized official:** MRS. NICOLE LEIGH BOLDY CPA (CFO)
- **Authorized official phone:** (757) 599-7422

## Contact information

- **Practice address:** 305 MARCELLA RD, HAMPTON, VA 23666-2433
- **Practice address phone:** (757) 827-8953
- **Practice address fax:** (757) 838-3542
- **Mailing address:** 240 NAT TURNER BLVD S, NEWPORT NEWS, VA 23606-0020
- **Mailing address phone:** (757) 596-6268
- **Mailing address fax:** (757) 595-8625

## Taxonomy

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

## Other

- **Enumeration date:** 09/13/2005
- **Last updated:** 08/28/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 004953053 | — | VA |
| 05 | — | 4953053 | — | VA |
