Basic Information
| Provider Information | |||||||||
| NPI: | 1427546423 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | CURIS AT WAYNESBORO OPCO LLC | ||||||||
| LastName: | |||||||||
| FirstName: | |||||||||
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| Credential: | |||||||||
| OtherOrganizationName: | CURIS AT WAYNESBORO NURSING & REHABILITATION CENTER | ||||||||
| OtherOrganizationType: | 3 | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1221 ROSSER AVE | ||||||||
| Address2: | |||||||||
| City: | WAYNESBORO | ||||||||
| State: | VA | ||||||||
| PostalCode: | 229803336 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5409497191 | ||||||||
| FaxNumber: | 5409498295 | ||||||||
| Practice Location | |||||||||
| Address1: | 1221 ROSSER AVE | ||||||||
| Address2: | |||||||||
| City: | WAYNESBORO | ||||||||
| State: | VA | ||||||||
| PostalCode: | 22980 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5409497191 | ||||||||
| FaxNumber: | 5409498295 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/25/2018 | ||||||||
| LastUpdateDate: | 06/13/2018 | ||||||||
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| AuthorizedOfficialLastName: | PHILIPSON | ||||||||
| AuthorizedOfficialFirstName: | BENT | ||||||||
| AuthorizedOfficialMiddleName: | |||||||||
| AuthorizedOfficialTitleorPosition: | MANAGER | ||||||||
| AuthorizedOfficialTelephone: | 5168693700 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 314000000X | NH2492 | VA | Y | Nursing & Custodial Care Facilities | Skilled Nursing Facility |
No ID Information.