Home » Virginia » 23936 » Dillwyn Life Care, Llc

Dillwyn Life Care, Llc

Dillwyn Life Care, Llc is a health care provider in Dillwyn, VA. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 119 Brickyard Dr, Dillwyn, VA 23936-3362, US
Practice Location Phone434-983-2058
Practice Location Fax434-983-1727
Legal Business NameDILLWYN LIFE CARE, LLC
Other Organization NameHERITAGE HALL - DILLWYN
Other Organization Name TypeDoing Business As Name
NPI ?1154813160
Entity TypeOrganization
Enumeration Date ? Jun 5, 2018
Last Update Date ? Jun 5, 2018
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Dillwyn Life Care, Llc

SpecialtySpecializationLicenseLicense State
Skilled Nursing Facility NH2574Virginia

legacy-id-icon Legacy Provider IDs of Dillwyn Life Care, Llc

Provider IdIssuer StateIssuer TypeIssuer
200515609OtherFEDERAL BLACK LUNG
4953177VirginiaMedicaid
180507VirginiaOtherANTHEM BCBS

official-icon Authorized Official of Dillwyn Life Care, Llc

An authorized official is an appointed official with the legal authority to make changes and/or updates to the Dillwyn Life Care, Llc's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Mr. James L Haines (JD)
Authorized Official Title/PositionCCO & GENERAL COUNSEL
Authorized Official Phone Number540-774-4263