MARTHA JEFFERSON HOUSE NPI 1174645790

NPI Information

MARTHA JEFFERSON HOUSE is an assisted living facility in Charlottesville, VA. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. MARTHA JEFFERSON HOUSE NPI is 1174645790. The provider is registered as an organization entity type.

The provider's business location address is:

1600 GORDON AVE
CHARLOTTESVILLE, VA
ZIP 22903-918
Phone: (434) 293-6136
Fax: (434) 295-0400

The provider's authorized official is Heather Parrott .
The authorized official title is Executive Director and has the following contact phone number (434) 293-6136.

The CLIA number assigned to this NPI record is 49D0890568 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/4/2007 and was last updated on 5/25/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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