Organization
ENVOY OF FORK UNION, LLC
Active
Other names
Envoy at the Village
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH USSERY (VP)
(407) 571-1550
Entity
Organization
Contact information
Practice address
4238 JAMES MADISON HIGHWAY, FORK UNION, VA 23055
(434) 842-2916
Mailing address
PO BOX 669, FORK UNION, VA 23055-0669
(434) 842-2916
(434) 842-5100
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1043464357
—
VA
Enumeration date
11/13/2008
Last updated
11/27/2023
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