Organization
MANOR CARE OF ALEXANDRIA VA LLC
Active
Other names
ProMedica Skilled Nursing and Rehabilitation (Alexandria)
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARTIN D ALLEN (DIRECTOR)
(419) 252-5734
Entity
Organization
Contact information
Practice address
1510 COLLINGWOOD RD, ALEXANDRIA, VA 22308-1605
(703) 765-6107
(703) 765-3131
Mailing address
333 N SUMMIT ST, TOLEDO, OH 43604-2615
(419) 252-5500
(877) 385-9446
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH2644
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1104861673
—
VA
Enumeration date
06/18/2006
Last updated
01/23/2022
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