Organization
WYTHEVILLE ALF OPERATIONS LLC
Active
Other names
Holston Senior Living
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH LIEBERMAN (VICE PRESIDENT OF PROCUREMENT)
(516) 855-0504
Entity
Organization
Contact information
Practice address
990 HOLSTON RD, WYTHEVILLE, VA 24382-4105
(276) 228-5595
Mailing address
990 HOLSTON RD, WYTHEVILLE, VA 24382-4105
(276) 228-5595
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
10/06/2025
Last updated
10/06/2025
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