Organization
GREGORY'S ASSISTED LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KRISTEN GREGORY MHA, RMA (ASSISTANT ADMINISTRATOR)
(386) 793-5155
Entity
Organization
Contact information
Practice address
29255 WALKER LANE, 29271 WALKER LANE, MEADOWVIEW, VA 24361
(386) 793-5155
(276) 695-9047
Mailing address
PO BOX 400, 29255 WALKER LANE, MEADOWVIEW, VA 24361
(276) 944-5350
(276) 695-9047
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
—
—
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1508026352
—
VA
01
—
1706-001300
BOARD OF NURSING, MEDICATION AID
VA
01
—
VA-1706-001300
STATE LICENSE
VA
05
—
VA-1706-001300
—
VA
Enumeration date
07/12/2023
Last updated
08/24/2023
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