Wythe Va Opco LLC
NPI #1487367769 in Rural Retreat, Virginia
Provider Information
- NPI Number
- 1487367769
- Entity Type
- Organization
- Organization Name
- Wythe Va Opco LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Jan 2, 2023
- Last Updated
- Mar 4, 2024
Practice Location
- Address
- 514 N MAIN ST
- City
- Rural Retreat
- State
- Virginia
- ZIP Code
- 24368-3123
- Phone
- (276) 686-7000
Authorized Official
- Name
- AKIVA SHAPIRO
- Title
- COO
- Phone
- (201) 581-6622
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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