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Contact Information

SNOWSHOE LTC GROUP, LLC
730 LUNENBURG HIGHWAY
KEYSVILLE, VA23947
 Phone: 434-736-8406
 Fax: 434-736-9334
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
 

Rehabilitation

261QR0400X B4[14] Rehabilitation Agency
Indicates primary specialty

NPI Profile & details for SNOWSHOE LTC GROUP, LLC

NPI # 1265463566
LBN Legal business name SNOWSHOE LTC GROUP, LLC
Authorized official GALE BOICE - (CFO)
Entity Organization
Organization subpart 1 No
Enumeration date 07/05/2006
Last updated 07/09/2021 - About 5 years ago
Identifiers
VA License # NH2522
VA Medicaid 4952260
VA Other 227057 ANTHEM BC/BS
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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