Organization
HP/STANDARDSVILLE, INC.
Active
Other names
Evergreene Nursing Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS K MITTLEIDER (PRESIDENT)
(770) 619-0866
Entity
Organization
Contact information
Practice address
355 WILLIAM MILLS DR, STANARDSVILLE, VA 22973-3055
(434) 985-4434
(434) 985-2499
Mailing address
355 WILLIAM MILLS DR, STANARDSVILLE, VA 22973-3055
(434) 985-4434
(434) 985-2499
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH2551
VA
Other
Enumeration date
10/17/2007
Last updated
07/25/2008
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