Organization
SOUTH LEASING (VA) CO., LLC
Active
Other names
Petersburg Healthcare Center
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES STOLTZ (SECRETARY / TREASURER)
(513) 530-1808
Entity
Organization
Contact information
Practice address
287 E SOUTH BLVD, PETERSBURG, VA 23805-2700
(804) 733-1190
(804) 733-0796
Mailing address
10123 ALLIANCE RD, BLUE ASH, OH 45242-4887
(513) 530-1808
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
03/16/2017
Last updated
05/01/2025
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