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Organization
VAMC
Active
Organization
VAMC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNE LYNNE MCCLENDON RN (STAFF NURSE)
(276) 637-3963
Entity
Organization
Contact information
Practice address
477A IVANHOE RD, MAX MEADOWS, VA 24360-3534
(276) 637-3963
Mailing address
477A IVANHOE RD., MAX MEADOWS, VA 24360
(276) 637-3963
Taxonomy
Speciality
Code
Description
License number
State
282E00000X
Long Term Care Hospital
Primary
0001138233
VA
Other
Enumeration date
02/22/2007
Last updated
08/22/2020
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