Organization
SNOWSHOE LTC GROUP, LLC
Active
Other names
Wayland Nursing and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
GALE BOICE (CFO)
(252) 523-9094
Entity
Organization
Contact information
Practice address
730 LUNENBURG HIGHWAY, KEYSVILLE, VA 23947
(434) 736-8406
(434) 736-9334
Mailing address
PO BOX 719, KEYSVILLE, VA 23947-0719
(434) 736-8406
(434) 736-9334
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
NH2522
VA
314000000X
Skilled Nursing Facility
Primary
NH2522
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
227057
ANTHEM BC/BS
VA
05
—
4952260
—
VA
Enumeration date
07/05/2006
Last updated
07/09/2021
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