Organization
BETH SHOLOM HOME OF EASTERN VIRGINIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NINA MUNGO MPT (DIRECTOR OF THERAPY SERVICES)
(757) 420-1485
Entity
Organization
Contact information
Practice address
6401 AUBURN DR, VIRGINIA BEACH, VA 23464-3601
(757) 420-1485
Mailing address
6401 AUBURN DR, VIRGINIA BEACH, VA 23464-3601
(757) 420-1485
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2306602919
VA
Other
Enumeration date
10/04/2010
Last updated
10/04/2010
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