Organization
SENTARA LIFE CARE CORPORATION
Active
Other names
Sentara Nursing & Rehab Center Hampton
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE ROBERTSON (VICE PRESIDENT SENTARA LIFE CARE)
(757) 892-5400
Entity
Organization
Contact information
Practice address
2230 EXECUTIVE DR, HAMPTON, VA 23666-2430
(757) 224-2230
(757) 224-2231
Mailing address
251 S NEWTOWN RD, NORFOLK, VA 23502-5718
(757) 892-5400
(757) 892-5401
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH2680
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
49-5287-1
—
VA
Enumeration date
11/03/2005
Last updated
05/06/2010
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