Organization
VIRGINIA HEALTH SERVICES, INC
Active
Other names
Walter Reed Convalescent and Rehabiliation Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NICOLE LEIGH BOLDY (CFO)
(757) 599-7422
Entity
Organization
Contact information
Practice address
7602 MEREDITH DR, GLOUCESTER, VA 23061-4151
(804) 693-6503
(804) 693-6412
Mailing address
240 NAT TURNER BLVD S, NEWPORT NEWS, VA 23606-0020
(757) 596-6268
(757) 595-0966
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH2715
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004952766
—
VA
01
—
227539
ANTHEM
VA
Enumeration date
10/05/2005
Last updated
08/28/2020
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