SUNNYSIDE PRESBYTERIAN HOME
Assisted Living Facility
Waynesboro, Virginia
Provider NPI: 1518956911
Organization Information:Organization Name: SUNNYSIDE PRESBYTERIAN HOME
Practice Location:
501 OAK AVE WAYNESBORO, VA 22980 US
Tel: 540-941-3100 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:
501 OAK AVE WAYNESBORO, VA 22980 US
Tel: 540-941-3100 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 310400000X | Nursing & Custodial Care Facilities Assisted Living Facility | VA | 1022567 |
Y | 314000000X | Nursing & Custodial Care Facilities Skilled Nursing Facility | VA | NH2740 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
4954051 | VA | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin