CCSP NOVA LLC
Nursing at Harry Byrd Hwy, Dulles, VA

License number
Virginia NH2593
Category
Nursing
Type
Skilled Nursing Facility
Owner
Name: MRS. DEBORAH L PETRINE
Title: OWNER
Phone: (540) 725-8910
Address
Address 2
46531 Harry Byrd Hwy, Dulles, VA 20164
5372 Fallowater Ln SUITE 200, Roanoke, VA 24018
National Provider ID: 1710291679
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about CCSP NOVA LLC at bizstanding.com

CCSP Nova, LLC

5372 Fallowater Ln, Roanoke, VA 24018

Registration:
May 27, 2010
State ID:
S3283266
Business type:
Limited Liability Company
Agent:
National Registered Agents Inc,4701 Cox Rd SUITE 285, Glen Allen, VA 23060

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