Organization
HEALTHLINK OF VIRGINIA SHORES, LLC
Active
Other names
Beacon Shores Nursing & Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS D JOHNSON (PRESIDENT)
(423) 478-5953
Entity
Organization
Contact information
Practice address
340 LYNN SHORES DR, VIRGINIA BEACH, VA 23452-2416
(757) 340-6611
(757) 463-4147
Mailing address
340 LYNN SHORES DR, VIRGINIA BEACH, VA 23452-2416
(757) 340-6611
(757) 463-4147
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH2616
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004951506
—
VA
Enumeration date
06/10/2006
Last updated
11/20/2012
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