Organization
SENTARA LIFE CARE CORPORATION
Active
Parent organization
SENTARA HEALTHCARE
Organization subpart
Yes
Provider details
NPI number
Legal business name
SENTARA HEALTHCARE
Authorized official
MR. BRUCE S ROBERTSON (VP, ADMINISTRATOR)
(757) 892-5400
Entity
Organization
Contact information
Practice address
251 S NEWTOWN RD, NORFOLK, VA 23502-5718
(757) 892-5400
(757) 892-5401
Mailing address
251 S NEWTOWN RD, NORFOLK, VA 23502-5718
(757) 892-5400
(757) 892-5401
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
—
—
Other
Enumeration date
08/26/2009
Last updated
08/26/2009
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