Organization
CLARKSVILLE SENIOR CARE, LLC
Active
Other names
MeadowView Terrace
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEWART NELSON (CHIEF FINANCIAL OFFICER)
(434) 517-3183
Entity
Organization
Contact information
Practice address
184 BUFFALO RD, CLARKSVILLE, VA 23927
(434) 374-4141
(434) 374-4491
Mailing address
PO BOX 649, SOUTH BOSTON, VA 24592-0649
(434) 517-3085
(434) 517-3721
Taxonomy
Speciality
Code
Description
License number
State
332BN1400X
Nursing Facility Supplies (DME)
Primary
NH2745
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4960793
—
VA
Enumeration date
05/04/2006
Last updated
02/14/2008
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