Colonial Heights Operator LLC
NPI #1275174567 in Colonial Heights, Virginia
Provider Information
- NPI Number
- 1275174567
- Entity Type
- Organization
- Organization Name
- Colonial Heights Operator LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Oct 8, 2019
- Last Updated
- Jan 9, 2020
Practice Location
- Address
- 831 E ELLERSLIE AVE
- City
- Colonial Heights
- State
- Virginia
- ZIP Code
- 23834-1720
- Phone
- (804) 526-6851
Authorized Official
- Name
- ELAZAR FISCHER
- Title
- AUTHORIZED OFFICIAL
- Phone
- (804) 526-6851
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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