Organization · Type 2 NPI

Lake Prince Center, Inc.

Skilled Nursing Facility · Suffolk, VA

NPI number 1073500310 Active

Practice location

100 Anna Goode Way
Suffolk, VA 23434-9236

Fax (757) 923-5502

Specialties and licenses

Taxonomy	Code	License
Skilled Nursing Facility Primary	314000000X	NH2752 (VA)

Skilled Nursing Facility: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to r…

16 other providers at this address

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NPI record

NPI: 1073500310
Entity type: Organization (Type 2)
Issued: Oct 3, 2005
Last updated: Jan 4, 2021
Status: Active

Other names

<unavail>
Lake Prince Woods · doing business as
Lake Prince Woods · doing business as

Authorized official

Paula Sutton White
Accounts Receivable Manager
(828) 465-8021

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1073500310

Lake Prince Center, Inc.'s National Provider Identifier is 1073500310, issued on Oct 3, 2005. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Suffolk, VA. The record was last updated on Jan 4, 2021.