Individual
MRS. ROBERTA LOVING GROOMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1223 FILLMORE ST, LYNCHBURG, VA 24501
(434) 528-5245
(434) 846-0491
Mailing address
1007 FEDERAL ST, LYNCHBURG, VA 24504
(434) 845-4403
(434) 846-0491
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
102
VA
3747P1801X
Personal Care Attendant
102
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4946472
—
VA
Enumeration date
03/01/2007
Last updated
09/11/2025
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