Organization
CULPEPER BAPTIST RETIREMENT COMMUNITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES FRANCIS JACOBSEN LNHA (EXECUTIVE DIRECTOR)
(540) 825-2411
Entity
Organization
Contact information
Practice address
12425 VILLAGE LOOP, BOX 191, CULPEPER, VA 22701-0191
(540) 825-2411
Mailing address
PO BOX 191, 12425 VILLAGE LOOP, CULPEPER, VA 22701-0191
(540) 825-2411
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
WLO055725
VA
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
NH2541
VA
314000000X
Skilled Nursing Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004967658
—
VA
Enumeration date
03/15/2006
Last updated
01/27/2023
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