# PENNINGTON GAP HMA INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lee Regional Home Health
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891736005
- **Authorized official:** TIMOTHY PARRY ESQ (SR VP AND GENERAL COUNSEL)
- **Authorized official phone:** (239) 598-3176

## Contact information

- **Practice address:** WEST MORGAN AVENUE, PENNINGTON GAP, VA 24277
- **Practice address phone:** (276) 546-1440
- **Mailing address:** WEST MORGAN AVENUE, PENNINGTON GAP, VA 24277
- **Mailing address phone:** (276) 546-1440

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 06/09/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 442392 | BLUE CROSS VA HHA | VA |