Organization
PRINCE WILLIAM H&R OPS LIMITED PARTNERSHIP
Active
Other names
Lake Manassas Health & Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CLAUDE NOVEL MARTIN III (CFO - MFA, INC.)
(540) 776-7526
Entity
Organization
Contact information
Practice address
14935 HOLLY KNOLL LANE, GAINESVILLE, VA 20155
(703) 743-3999
(703) 743-3980
Mailing address
2917 PENN FOREST BLVD, ROANOKE, VA 24018-4304
(540) 989-3618
(540) 339-9101
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
03/16/2017
Last updated
03/16/2017
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