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Organization
MAPLE LEAF OF HANOVER COUNTY HEALTH CARE, INC.
Active
Organization
MAPLE LEAF OF HANOVER COUNTY HEALTH CARE, INC.
Active
Other names
Hanover Health & Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CLAUDE NOVEL MARTIN III (CFO, MFA, INC. GENERAL PARTNER)
(540) 776-7526
Entity
Organization
Contact information
Practice address
8139 LEE DAVIS RD, MECHANICSVILLE, VA 23111-7001
(804) 559-5030
(804) 559-5036
Mailing address
2917 PENN FOREST BLVD, ROANOKE, VA 24018-4374
(540) 989-3618
(540) 774-9443
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH2564
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4952669
—
VA
Enumeration date
08/15/2006
Last updated
05/19/2010
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