Organization
EMPORIA MANOR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KARL KEFFER (ADMINISTRATOR)
(434) 634-6581
Entity
Organization
Contact information
Practice address
200 WEAVER AVE, EMPORIA, VA 23847-1230
(434) 634-6581
(434) 634-4069
Mailing address
200 WEAVER AVE, EMPORIA, VA 23847-1230
(434) 634-6581
(434) 634-4069
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010051088
—
VA
Enumeration date
11/18/2005
Last updated
07/15/2016
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