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Contact Information

BON SECOURS MARYVIEW NURSING CARE CENTER LLC
4775 BRIDGE RD
SUFFOLK, VA23435-2045
 Phone: 757-686-0488
 Fax: 757-686-8211
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
 

Nursing Facility/Intermediate Care Facility

313M00000X A3[10] Other Nursing Facility
Indicates primary specialty

NPI Profile & details for BON SECOURS MARYVIEW NURSING CARE CENTER LLC

NPI # 1124033980
LBN Legal business name BON SECOURS MARYVIEW NURSING CARE CENTER LLC
Authorized official KIMBERLY RALSTON - (SYSTEM DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 07/30/2006
Last updated 10/22/2020 - About 6 years ago
Identifiers
VA License # NH2511
VA Medicaid 4952065
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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