Organization
400 SOUTH INDEPENDENCE AVENUE OPCO LLC
Active
Other names
Grayson Health and Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY HOBACK (MANAGER)
(770) 698-9040
Entity
Organization
Contact information
Practice address
400 S INDEPENDENCE AVE, INDEPENDENCE, VA 24348-3972
(276) 773-0303
(276) 773-0404
Mailing address
400 S INDEPENDENCE AVE, INDEPENDENCE, VA 24348-3972
(276) 773-0303
(276) 773-0404
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
12/23/2024
Last updated
03/10/2025
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