Organization
HP/STANDARDSVILLE, INC.
Active
Other names
Evergreene Nursing Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LOUANN ANSTIS (PRIVACY OFFICER)
(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
925 N POINT PKWY, SUITE 440, ALPHARETTA, GA 30005-5210
(770) 619-0866
(770) 870-2892
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH2551
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004953436
—
VA
Enumeration date
07/09/2006
Last updated
08/05/2008
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