Organization
COLONIAL HEIGHTS OPERATIONS, LLC
Active
Other names
Colonial Heights Health Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. A. ALBERTO LUGO (EXECUTIVE VP & GENERAL COUNSEL)
(201) 242-4000
Entity
Organization
Contact information
Practice address
831 EAST ELLERSLIE AVENUE, COLONIAL HEIGHTS, VA 23834
(804) 526-6851
(804) 526-3019
Mailing address
831 EAST ELLERSLIE AVENUE, COLONIAL HEIGHTS, VA 23834
(804) 526-6851
(804) 526-3019
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4951131
—
VA
Enumeration date
07/19/2005
Last updated
08/13/2015
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