# WYTHEVILLE ALF OPERATIONS LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Holston Senior Living
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659245223
- **Authorized official:** JOSEPH LIEBERMAN (VICE PRESIDENT OF PROCUREMENT)
- **Authorized official phone:** (516) 855-0504

## Contact information

- **Practice address:** 990 HOLSTON RD, WYTHEVILLE, VA 24382-4105
- **Practice address phone:** (276) 228-5595
- **Mailing address:** 990 HOLSTON RD, WYTHEVILLE, VA 24382-4105
- **Mailing address phone:** (276) 228-5595

## Taxonomy

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

## Other

- **Enumeration date:** 10/06/2025
- **Last updated:** 10/06/2025