Organization
CPL ILIFF LLC
Active
Other names
Iliff Nursing and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CAROLE M SCILLIA (LLC MANAGER)
(203) 608-6100
Entity
Organization
Contact information
Practice address
8000 ILIFF DRIVE, DUNN LORING, VA 22027-1235
(703) 560-1000
(703) 280-0406
Mailing address
538 PRESTON AVENUE, SUITE 270, MERIDEN, CT 06450-4851
(203) 608-6100
(203) 639-3574
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH2592
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004952057
—
VA
05
—
004960360
—
VA
05
—
1821089194
—
VA
Enumeration date
11/04/2005
Last updated
07/27/2011
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