Organization
GENERATION LEASING COMPANY II, LLC
Active
Other names
Pheasant Ridge Nursing & Rehab Center
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH CONTE (CHIEF OPERATING OFFICER)
(407) 571-1550
Entity
Organization
Contact information
Practice address
4355 PHEASANT RIDGE RD, ROANOKE, VA 24014-5272
(540) 725-8210
(540) 725-5735
Mailing address
800 CONCOURSE PKWY S, SUITE 200, MAITLAND, FL 32751-6148
(407) 571-1550
(407) 571-1599
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH2653
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4953258
—
VA
Enumeration date
06/10/2006
Last updated
08/22/2020
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