# LYNN HOUSE OF POTOMAC VALLEY INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235235805
- **Authorized official:** SUSAN ORTTUNG (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (703) 379-6000

## Contact information

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

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 374T00000X | Religious Nonmedical Nursing Personnel | — | NULL | Yes |
| 374T00000X | Religious Nonmedical Nursing Personnel | — | — | Yes |

## Other

- **Enumeration date:** 09/14/2006
- **Last updated:** 09/12/2022