# LYNCHBURG AREA CENTER FOR INDEPENDENT LIVING

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1700926573
- **Authorized official:** MR. PHIL THEISEN (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (434) 528-4971

## Contact information

- **Practice address:** 500 ALLEGHANY AVE STE 520, LYNCHBURG, VA 24501-2610
- **Practice address phone:** (434) 528-4971
- **Practice address fax:** (434) 528-4976
- **Mailing address:** 500 ALLEGHANY AVE STE 520, LYNCHBURG, VA 24501-2610
- **Mailing address phone:** (434) 528-4971
- **Mailing address fax:** (434) 528-4976

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171M00000X | Case Manager/Care Coordinator | — | VA | Yes |

## Other

- **Enumeration date:** 02/08/2007
- **Last updated:** 08/22/2020