Organization
ENVOY OF WILLIAMSBURG, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH USSERY (VP)
(407) 571-1550
Entity
Organization
Contact information
Practice address
1235 S MOUNT VERNON AVE, WILLIAMSBURG, VA 23185-2835
(757) 229-4121
Mailing address
1235 S MOUNT VERNON AVE, WILLIAMSBURG, VA 23185-2835
(757) 229-4121
(757) 229-6625
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1497908537
—
VA
Enumeration date
11/03/2008
Last updated
11/27/2023
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