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Organization
MARY WASHINGTON CONVALESCENT & NURSING CARE LLC
Active
Organization
MARY WASHINGTON CONVALESCENT & NURSING CARE LLC
Active
Other names
Mary Washington Rehabilitation & Health Care LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GRAHAM L ADELMAN (PRESIDENT)
(804) 521-0550
Entity
Organization
Contact information
Practice address
2400 MCKINNEY BLVD, COLONIAL BEACH, VA 22443-1237
(804) 224-2222
(804) 224-2282
Mailing address
12093 GAYTON RD, RICHMOND, VA 23238-3401
(804) 521-0550
(804) 521-0555
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH2627
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
139149
BCBS PROVIDER NUMBER
VA
Enumeration date
10/25/2006
Last updated
08/22/2020
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