Organization
ADULT CARE CENTER OF ROANOKE VALLEY INC.
Active
Organization
ADULT CARE CENTER OF ROANOKE VALLEY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MIKE PYLE (EXECUTIVE DIRECTOR)
(540) 981-2350
Entity
Organization
Contact information
Practice address
2321 ROANOKE BLVD, SALEM, VA 24153-6456
(540) 981-2350
Mailing address
2321 ROANOKE BLVD, SALEM, VA 24153-6456
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
311ZA0620X
Adult Care Home Facility
ADC1103671
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0087302292
—
VA
Enumeration date
10/24/2014
Last updated
06/09/2023
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