RUNK AND PRATT OF FOREST
Alzheimer Center
Forest, Virginia
Provider NPI: 1588812549
Organization Information:Organization Name: RUNK AND PRATT OF FOREST
Practice Location:
208 GRISTMILL DR FOREST, VA 24551 US
Tel: 434-385-8506 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
208 GRISTMILL DR FOREST, VA 24551 US
Tel: 434-385-8506 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 311500000X | Nursing & Custodial Care Facilities Alzheimer Center (Dementia Center) | VA | RO-08129 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
0102578751 | VA | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin