Organization
VIRGINIA VETERANS CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM VAN THIEL (ADMINISTRATOR)
(540) 982-2860
Entity
Organization
Contact information
Practice address
4550 SHENANDOAH AVE NW, ROANOKE, VA 24017-4749
(540) 982-2860
(540) 982-8667
Mailing address
4550 SHENANDOAH AVE NW, ROANOKE, VA 24017-4749
(540) 982-2860
(540) 982-8667
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH2711
VA
Other
Enumeration date
07/11/2005
Last updated
11/08/2007
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