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Organization

MEDICAL FACILITIES OF AMERICA LIV

Active
Other names
Beaufont Healthcare Center
Organization subpart
No

Provider details

NPI number
Authorized official
MR. CLAUDE NOVEL MARTIN III (CFO, MFA, INC. GENERAL PARTNER)
(540) 776-7526
Entity
Organization

Contact information

Practice address
200 HIOAKS RD, RICHMOND, VA 23225-4048
(804) 272-2918
(804) 272-3012
Mailing address
2917 PENN FOREST BLVD, ROANOKE, VA 24018-4374
(540) 989-3618
(540) 774-9443

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH2498
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4952600
VA
Enumeration date
08/15/2006
Last updated
05/19/2010
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