Organization
RICH CREEK LIFE CARE, LLC
Active
Other names
Heritage Hall - Rich Creek
Organization subpart
No
Provider details
NPI number
Authorized official
CASSANDRA GALLANT (COMPLIANCE & PRIVACY OFFICER)
(540) 774-4263
Entity
Organization
Contact information
Practice address
120 OLD VIRGINIA AVE, RICH CREEK, VA 24147-9669
(540) 726-2328
(540) 726-2519
Mailing address
3131 ELECTRIC RD, ROANOKE, VA 24018-6427
(540) 774-4263
(540) 774-0780
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
NH2673
VA
314000000X
Skilled Nursing Facility
Primary
NH2673
VA
Other
Enumeration date
06/08/2005
Last updated
11/25/2024
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