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Masonic Home Of Virginia
Nursing Facility/Intermediate Care Facility in Richmond, Virginia
NPI 1558677658

Masonic Home Of Virginia is a Nursing Facility/Intermediate Care Facility based in Richmond, VA. Masonic Home Of Virginia practices in Richmond, VA. The NPI Number for Masonic Home Of Virginia is 1558677658 and holds a License No. NH2628 (Virginia).

The current practice location address for Masonic Home Of Virginia is 4101 Nine Mile Rd, Richmond, VA and can be reached out via phone at 804-222-1694 and via fax at 804-226-4567.

Location: 4101 Nine Mile Rd, Richmond, VA, 23223-4956
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1558677658
Provider Name
Masonic Home Of Virginia
Credential
Provider Entity Type
Organization
Address
4101 Nine Mile Rd, Richmond, VA, 23223-4956
Phone Number
804-222-1694
Fax Number
804-226-4567
Provider Enumeration Date
08/26/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4101 Nine Mile Rd
City
Richmond
State
Virginia
Zip
23223-4956
Phone Number
804-222-1694
Fax Number
804-226-4567
person
Provider Business Mailing Address Details
Address
4101 Nine Mile Rd
City
Richmond
State
Virginia
Zip
23223-4956
Phone Number
804-222-1694
Fax Number
804-226-4567
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Nursing Facility/Intermediate Care Facility
Speciality
-
Taxonomy
313M00000X
License No.
NH2628 (Virginia)
Definition
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
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