Organization
SUNNYSIDE PRESBYTERIAN HOME
Active
Other names
Summit Square Retirement Community
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL WHITE (CONTROLLER)
(540) 568-8237
Entity
Organization
Contact information
Practice address
501 OAK AVE, WAYNESBORO, VA 22980-4400
(540) 941-3100
(540) 941-3330
Mailing address
600 UNIVERSITY BLVD, HARRISONBURG, VA 22801-3763
(540) 568-8237
(540) 568-8248
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
1022567
VA
314000000X
Skilled Nursing Facility
Primary
NH2740
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4954051
—
VA
Enumeration date
10/18/2005
Last updated
05/26/2020
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