Provider Demographics
NPI:1043489453
Name:ORANGE COUNTY NURSING HOME COMMISSION
Entity Type:Organization
Organization Name:ORANGE COUNTY NURSING HOME COMMISSION
Other - Org Name:DOGWOOD VILLAGE OF ORANGE COUNTY OUT-PATIENT REHABILITATION CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINSTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:VERNON
Authorized Official - Middle Name:M
Authorized Official - Last Name:BAKER
Authorized Official - Suffix:
Authorized Official - Credentials:MS,NHA
Authorized Official - Phone:540-672-2611
Mailing Address - Street 1:120 DOGWOOD LN
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:VA
Mailing Address - Zip Code:22960-1058
Mailing Address - Country:US
Mailing Address - Phone:540-672-2611
Mailing Address - Fax:540-672-3187
Practice Address - Street 1:120 DOGWOOD LN
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:VA
Practice Address - Zip Code:22960-1058
Practice Address - Country:US
Practice Address - Phone:540-672-2611
Practice Address - Fax:540-672-3187
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ORANGE COUNTY NURSING HOME COMMISSION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-02-29
Last Update Date:2008-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation