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Organization
FRONT ROYAL LIFE CARE CORP
Active
Organization
FRONT ROYAL LIFE CARE CORP
Active
Other names
Heritage Hall Front Royal
Organization subpart
No
Provider details
NPI number
Authorized official
CASSANDRA GALLANT (COMPLIANCE & PRIVACY OFFICER)
(540) 774-4263
Entity
Organization
Contact information
Practice address
400 W STRASBURG RD, FRONT ROYAL, VA 22630-4644
(540) 636-3700
(540) 636-8558
Mailing address
3131 ELECTRIC RD STE 100, ROANOKE, VA 24018-6427
(540) 774-4263
(540) 774-0780
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH2575
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
227230
ANTHEM BCBS PPO
VA
05
—
4953011
—
VA
01
—
608696000
FEDERAL BLACK LUNG
VA
Enumeration date
10/25/2005
Last updated
11/25/2024
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