Provider Demographics
NPI:1497996656
Name:NOSA FUTURA CORPORATION
Entity Type:Organization
Organization Name:NOSA FUTURA CORPORATION
Other - Org Name:COLONIAL MANOR
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:PEDRO
Authorized Official - Middle Name:
Authorized Official - Last Name:BECERRA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-476-6721
Mailing Address - Street 1:8679 POCAHONTAS TRL
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:23185-6063
Mailing Address - Country:US
Mailing Address - Phone:757-476-6721
Mailing Address - Fax:757-476-6722
Practice Address - Street 1:8679 POCAHONTAS TRL
Practice Address - Street 2:
Practice Address - City:WILLIAMSBURG
Practice Address - State:VA
Practice Address - Zip Code:23185-6063
Practice Address - Country:US
Practice Address - Phone:757-476-6721
Practice Address - Fax:757-476-6722
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-18
Last Update Date:2009-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA163W00000X310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility