Smil Mountain Lake Retirement Village
Organization Active NPI Assisted Living Facility · Hardy, VA
NPI 1154574820 · NPPES record last updated Oct 28, 2008
Key facts
- NPI
- 1154574820
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Assisted Living Facility 310400000X
- License
- RO-08-300 (VA)
- Legal business name
- SMIL MOUNTAIN LAKE RETIREMENT VILLAGE
- Practice address
- 115 Retirement Dr
Hardy, VA 24101 - Phone
- (540) 719-2900
- NPI assigned
- Oct 28, 2008
- Organization subpart
- No
Authorized official
- Name
- Mr. Brian Runk
- Title
- Ceo
- Phone
- (434) 237-2268
Corporate family (same tax ID) 1
National Provider Directory
- Tax ID family
- Runk and Pratt Adult Care
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | RO-08-300 | VA | Yes |
Addresses
Primary practice location
115 Retirement Dr
Hardy, VA 24101
Mailing address
115 Retirement Dr
Hardy, VA 24101
Phone (540) 719-2900
Other providers in Hardy, VA
- Rose Leslie Sachs
- Amanda Sadzewicz
- Sarah Day Sargent
- Charles Francis Shrock
- Sarah Elizabeth Simpson
- Shellie Suffel
- Jenifer Suri
- Maegan Taylor
- Edward Paul Ulrich Jr.
- Jason Christopher Urda
All providers in Hardy, VA · Assisted Living Facility in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 28, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.