Organization
WYTHE VA OPCO LLC
Active
Other names
Mountain Laurel Rehabilitation and Nursing
Organization subpart
No
Provider details
NPI number
Authorized official
AKIVA SHAPIRO (COO)
(201) 581-6622
Entity
Organization
Contact information
Practice address
514 N MAIN ST, RURAL RETREAT, VA 24368-3123
(276) 686-7000
Mailing address
514 N MAIN ST, RURAL RETREAT, VA 24368-3123
(276) 686-7000
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
01/02/2023
Last updated
03/04/2024
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