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Organization

MEDICAL FACILITIES OF AMERICA LXXVI 76 LIMITED PARTNERSHIP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. CLAUDE NOVEL MARTIN III (CFO, MFA, INC. GENERAL PARTNER)
(540) 776-7526
Entity
Organization

Contact information

Practice address
505 WEST RIO RD, CHARLOTTESVILLE, VA 22901-1411
(434) 978-7015
Mailing address
2917 PENN FOREST BLVD, ROANOKE, VA 24018-4374
(540) 989-3618
(540) 774-9443

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH2572
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004951786
VA
Enumeration date
01/07/2009
Last updated
02/24/2009
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