Organization
VIRGINIA LUTHERAN HOMES, INC.
Active
Other names
Brandon Oaks Nursing & Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL BIRD (CFO)
(540) 562-5443
Entity
Organization
Contact information
Practice address
3837 BRANDON AVE SW, ROANOKE, VA 24018-1441
(540) 776-2616
(540) 777-0037
Mailing address
3807 BRANDON AVE SW STE 2440, ROANOKE, VA 24018-1477
(540) 562-5443
(540) 562-5465
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1701001951
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
182829
ANTHEM BC/BS
VA
05
—
4966279
—
VA
Enumeration date
06/17/2006
Last updated
02/04/2019
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