Organization
AVANTE AT WAYNESBORO, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LISA WILSON (PRESIDENT)
(954) 987-7180
Entity
Organization
Contact information
Practice address
1221 ROSSER AVE, WAYNESBORO, VA 22980-3336
(540) 949-7191
(540) 943-1738
Mailing address
4601 SHERIDAN STREET, SUITE 500, HOLLYWOOD, FL 33021-3439
(540) 949-7191
(540) 943-1738
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH2492
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4951476
—
VA
05
—
4960181
—
VA
Enumeration date
10/23/2006
Last updated
11/14/2016
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