Organization
SENTARA LIFE CARE CORPORATION
Active
Other names
Sentara Nursing Center Windermere
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE ROBERTSON (VICE PRESIDENT SENTARA LIFE CARE)
(757) 892-5400
Entity
Organization
Contact information
Practice address
1604 OLD DONATION PKWY, VIRGINIA BEACH, VA 23454-3063
(757) 496-7100
(757) 481-1589
Mailing address
251 S NEWTOWN RD, NORFOLK, VA 23502-5718
(757) 892-5400
(757) 892-5401
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
NH2730
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
49-6837-9
—
VA
Enumeration date
11/02/2005
Last updated
04/08/2008
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