Organization
ORANGE COUNTY NURSING HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VERNON M BAKER (ADMINISTRATOR)
(540) 672-2611
Entity
Organization
Contact information
Practice address
120 DOGWOOD LN, ORANGE, VA 22960-1058
(540) 672-2611
(540) 672-3187
Mailing address
120 DOGWOOD LN, ORANGE, VA 22960-1058
(540) 672-2611
(540) 672-3187
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH2647
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
384875
BCBS MEDIGAP PROVIDER NO
VA
Enumeration date
07/19/2005
Last updated
08/22/2020
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