Organization
HANOVER CARE CENTER LLC
Active
Other names
Hanover Health & Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
EMMANUEL MOTLEY (ADMINISTRATOR)
(804) 559-5030
Entity
Organization
Contact information
Practice address
8139 LEE DAVIS RD, MECHANICSVILLE, VA 23111-7001
(804) 559-5030
Mailing address
8139 LEE DAVIS RD, MECHANICSVILLE, VA 23111-7001
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
05/13/2021
Last updated
05/13/2021
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