Organization
THE LAURELS OF CHARLOTTESVILLE, LLC
Active
Other names
THE LAURELS OF CHARLOTTESVILLE
Organization subpart
No
Provider details
NPI number
Authorized official
ANIS KHAN (CFO)
(614) 794-8800
Entity
Organization
Contact information
Practice address
490 HILLSDALE DR, CHARLOTTESVILLE, VA 22901-5731
(434) 951-4200
(434) 951-4201
Mailing address
8181 WORTHINGTON RD, WESTERVILLE, OH 43082-8067
(614) 794-8800
(614) 794-8826
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
NH2754
VA
314000000X
Skilled Nursing Facility
Primary
NH2754
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010098513
—
VA
01
—
NH2754
NURSING HOME LICENSE #
VA
Enumeration date
05/25/2006
Last updated
08/09/2021
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