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Organization

LYNN HOUSE OF POTOMAC VALLEY INC

Active
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Organization

LYNN HOUSE OF POTOMAC VALLEY INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SUSAN ORTTUNG (EXECUTIVE DIRECTOR)
(703) 379-6000
Entity
Organization

Contact information

Practice address
4400 W BRADDOCK RD, ALEXANDRIA, VA 22304-1010
(703) 379-6000
(703) 671-8897
Mailing address
4400 W BRADDOCK ROAD, ALEXANDRIA, VA 22304-1010
(703) 379-6000
(703) 671-8897

Taxonomy

Speciality
Code
Description
License number
State
374T00000X
Religious Nonmedical Nursing Personnel
Primary
—
NULL
374T00000X
Religious Nonmedical Nursing Personnel
Primary
—
—

Other

Enumeration date
09/14/2006
Last updated
09/12/2022
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