Organization
SENTARA LIFE CARE CORPORATION
Active
Other names
Sentara Nursing Center Chesapeake
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE ROBERTSON (VICE PRESIDENT SENTARA LIFE CARE)
(757) 892-5400
Entity
Organization
Contact information
Practice address
776 OAK GROVE RD, CHESAPEAKE, VA 23320-3728
(757) 204-4000
(757) 204-4001
Mailing address
251 S NEWTOWN RD, NORFOLK, VA 23502-5718
(757) 892-5400
(757) 892-5401
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH2679
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
49-5215-4
—
VA
Enumeration date
11/01/2005
Last updated
05/06/2010
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