Organization
BETH SHOLOM HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN V BELLOTTI (CHIEF FINANCIAL OFFICER)
(804) 750-2183
Entity
Organization
Contact information
Practice address
1600 JOHN ROLFE PKWY, RICHMOND, VA 23238-8110
(804) 750-2183
(804) 750-1078
Mailing address
1600 JOHN ROLFE PKWY, RICHMOND, VA 23238-8110
(804) 750-2183
(804) 750-1078
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH2503
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
216278
B/C PROFIDER NUMBER
VA
Enumeration date
10/12/2006
Last updated
08/22/2020
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