Organization
LEXINGTON COURT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GRAHAM L ADELMAN (PRESIDENT)
(804) 521-0550
Entity
Organization
Contact information
Practice address
1776 CAMBRIDGE DR, RICHMOND, VA 23238-3203
(804) 741-6174
(804) 740-6189
Mailing address
12093 GAYTON RD, RICHMOND, VA 23238-3401
(804) 521-0550
(804) 521-0555
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH2505
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004952723
—
VA
01
—
442237
BLUECROSS BLUESHIELD PR#
VA
Enumeration date
10/25/2006
Last updated
09/08/2009
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