Organization
WELLMONT HEALTH SYSTEM
Active
Other names
Wellmont Lonesome Pine Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BEVERLY A HOLLANDER RN,MA (DIRECTOR)
(423) 230-8475
Entity
Organization
Contact information
Practice address
CLOVERLEAF SQUARE, BUILDING G, BIG STONE GAP, VA 24219
(276) 523-8668
(276) 523-8701
Mailing address
2971 FORT HENRY DR, KINGSPORT, TN 37664-4005
(423) 230-8443
(423) 245-7874
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
NA
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
73861
—
VA
Enumeration date
11/16/2005
Last updated
08/22/2020
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