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Organization

GL VIRGINIA POQUOSON, LLC

Active
Other names
Bayside of Poquoson Health and Rehab
Organization subpart
No

Provider details

NPI number
Authorized official
DAVID RUBENSTEIN (PRESIDENT AND CEO)
(404) 786-8528
Entity
Organization

Contact information

Practice address
1 VANTAGE DR, POQUOSON, VA 23662-1400
(757) 868-9660
(757) 868-7319
Mailing address
1 VANTAGE DR, POQUOSON, VA 23662-1400
(757) 868-9660
(757) 868-7319

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
VA

Other

Enumeration date
12/13/2016
Last updated
12/13/2016
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