Organization
SUNNYSIDE PRESBYTERIAN HOME
Active
Other names
King's Grant
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL WHITE (CONTROLLER)
(540) 568-8237
Entity
Organization
Contact information
Practice address
350 KINGS WAY RD, MARTINSVILLE, VA 24112-6631
(276) 634-1000
(276) 634-1599
Mailing address
600 UNIVERSITY BLVD, HARRISONBURG, VA 22801-3763
(540) 568-8237
(540) 568-8248
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
RO05417
VA
314000000X
Skilled Nursing Facility
Primary
NH2602
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4954081
—
VA
Enumeration date
10/19/2005
Last updated
05/26/2020
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