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Organization
LYNCHBURG HEALTHCARE, LLC
Active
Organization
LYNCHBURG HEALTHCARE, LLC
Active
Other names
The Carrington
Organization subpart
No
Provider details
NPI number
Authorized official
DOUG MITTLEIDER (PRESIDENT OF MANAGING MEMBER)
(470) 282-3271
Entity
Organization
Contact information
Practice address
2406 ATHERHOLT RD, LYNCHBURG, VA 24501-2148
(434) 846-3200
(434) 846-3436
Mailing address
3050 ROYAL BLVD S STE 190, ALPHARETTA, GA 30022-1417
(470) 282-3268
(470) 268-7957
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004953029
—
VA
Enumeration date
09/12/2018
Last updated
09/12/2018
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