Organization
BETH SHOLOM HOME OF VIRGINIA
Active
Other names
Beth Sholom Home
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN VINCENT BELLOTTI JR. (CFO)
(804) 421-5352
Entity
Organization
Contact information
Practice address
1600 JOHN ROLFE PKWY, RICHMOND, VA 23238-8110
(804) 750-2183
(804) 750-1078
Mailing address
PO BOX 29331, RICHMOND, VA 23242-0331
(804) 750-2183
(804) 750-1078
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH2503
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004952910
—
VA
01
—
216278
ANTHEM PROVIDER #
VA
Enumeration date
07/06/2006
Last updated
05/12/2008
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