Organization
NELSON WEST HAVEN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALMA NELSON (OWNER)
(804) 355-9636
Entity
Organization
Contact information
Practice address
2223 W GRACE ST, RICHMOND, VA 23220-2011
(805) 355-9636
(804) 379-9258
Mailing address
2223 W GRACE ST, RICHMOND, VA 23220-2011
(805) 355-9636
(804) 379-9258
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
CLO-06-486
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5002702
—
VA
Enumeration date
01/21/2007
Last updated
08/22/2020
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