# OLD SOUTHWEST HEALTH AND REHABILITATION LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Old Southwest Health and Rehabilitation
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750094033
- **Authorized official:** AKIVA SHAPIRO (COO)
- **Authorized official phone:** (201) 581-6622

## Contact information

- **Practice address:** 324 KING GEORGE AVE SW, ROANOKE, VA 24016-5213
- **Practice address phone:** (540) 345-8139
- **Mailing address:** 324 KING GEORGE AVE SW, ROANOKE, VA 24016-5213
- **Mailing address phone:** (540) 345-8139

## Taxonomy

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

## Other

- **Enumeration date:** 01/02/2023
- **Last updated:** 03/04/2024