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Organization
LYNCHBURG AREA CENTER FOR INDEPENDENT LIVING
Active
Organization
LYNCHBURG AREA CENTER FOR INDEPENDENT LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHIL THEISEN (EXECUTIVE DIRECTOR)
(434) 528-4971
Entity
Organization
Contact information
Practice address
500 ALLEGHANY AVE STE 520, LYNCHBURG, VA 24501-2610
(434) 528-4971
(434) 528-4976
Mailing address
500 ALLEGHANY AVE STE 520, LYNCHBURG, VA 24501-2610
(434) 528-4971
(434) 528-4976
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
VA
Other
Enumeration date
02/08/2007
Last updated
08/22/2020
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