Organization
COVENANT WOODS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERIK MAURITSEN (COMPLIANCE OFFICER)
(804) 569-8173
Entity
Organization
Contact information
Practice address
7090 COVENANT WOODS DR, MECHANICSVILLE, VA 23111-7025
(804) 569-8000
(804) 569-8177
Mailing address
7090 COVENANT WOODS DR, MECHANICSVILLE, VA 23111-7025
(804) 569-8000
(804) 569-8177
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NH2662
NURSING HOME LICENSE NUMBER
VA
Enumeration date
12/29/2006
Last updated
10/12/2022
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