Organization
BETH SHOLOM HOME OF EASTERN VIRGINIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID R ABRAHAM CEO (VICE-PRESIDENT)
(757) 420-2512
Entity
Organization
Contact information
Practice address
6401 AUBURN DR, VIRGINIA BEACH, VA 23464-3601
(757) 420-2512
(757) 424-0657
Mailing address
6401 AUBURN DR, VIRGINIA BEACH, VA 23464-3601
(757) 420-2512
(757) 424-0657
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH2504
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
215344
ANTHEM BC/BS
VA
01
—
335333
ANTHEM FOR DMERC
VA
05
—
4951867
—
VA
Enumeration date
12/30/2005
Last updated
08/13/2009
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