Organization
AVANTE AT HARRISONBURG, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LISA WILSON (PRESIDENT)
(954) 987-7180
Entity
Organization
Contact information
Practice address
94 SOUTH AVE, HARRISONBURG, VA 22801-2827
(540) 433-2791
(540) 433-5163
Mailing address
4601 SHERIDAN STREET, SUITE 500, HOLLYWOOD, FL 33021-3439
(540) 433-2791
(540) 433-5163
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH2489
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4951468
—
VA
05
—
4960297
—
VA
Enumeration date
10/23/2006
Last updated
11/14/2016
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