Organization
FMSC WEBER CITY OPERATING COMPANY LLC
Active
Other names
Brian Center Health & Rehabilitation Center/Scott County
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THEODORE M DUAY III C.P.A. (CHIEF FINANCIAL OFFICER)
(786) 888-3310
Entity
Organization
Contact information
Practice address
377 CLONCE ST, WEBER CITY, VA 24290-7269
(276) 386-9444
Mailing address
1055 NE 125TH ST, NORTH MIAMI, FL 33161-5804
(786) 888-3310
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
314000000
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
49-5208-1/VA
—
VA
Enumeration date
07/01/2006
Last updated
12/02/2009
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