Provider Demographics
NPI:1629718184
Name:RUNK AND PRATT SENIOR LIVING SERVICES INC
Entity Type:Organization
Organization Name:RUNK AND PRATT SENIOR LIVING SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:RUNK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:434-237-2268
Mailing Address - Street 1:1208 PERROWVILLE RD STE C
Mailing Address - Street 2:
Mailing Address - City:FOREST
Mailing Address - State:VA
Mailing Address - Zip Code:24551-2267
Mailing Address - Country:US
Mailing Address - Phone:434-237-2268
Mailing Address - Fax:
Practice Address - Street 1:1208 PERROWVILLE RD STE C
Practice Address - Street 2:
Practice Address - City:FOREST
Practice Address - State:VA
Practice Address - Zip Code:24551-2267
Practice Address - Country:US
Practice Address - Phone:434-237-2268
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:RUNK AND PRATT HEALTHCARE ENTERPRISES INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-03-31
Last Update Date:2022-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care