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Organization
WYNNES ADULT CARE FACILITY INC
Active
Organization
WYNNES ADULT CARE FACILITY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HAROLD DWAYNE WYNNE LPN ADMINISTRATOR (ADMINISTRATOR OWNER)
(434) 385-5815
Entity
Organization
Contact information
Practice address
1565 COTTONTOWN RD, LYNCHBURG, VA 24503-4957
(434) 385-5815
(434) 385-4347
Mailing address
1565 COTTONTOWN RD, LYNCHBURG, VA 24503-4957
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
52001001
VA
Other
Enumeration date
09/26/2006
Last updated
06/23/2008
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