Organization
LITTLE SISTERS OF THE POOR IN RICHMOND VIRGINIA
Active
Other names
St. Josephs Home for the Aged
Organization subpart
No
Provider details
NPI number
Authorized official
REGIS MELLON SISTER (ADMINISTRATOR)
(804) 288-6245
Entity
Organization
Contact information
Practice address
1503 MICHAEL RD, RICHMOND, VA 23229-4822
(804) 288-6245
(804) 288-2472
Mailing address
1503 MICHAEL RD, RICHMOND, VA 23229-4822
(804) 288-6245
(804) 288-2472
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
NH2611-22
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
496663-5
—
VA
01
—
NH2611-22
NURSING HOME LICENSE NUMB
VA
Enumeration date
10/24/2005
Last updated
08/22/2020
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