Organization
LAKE PRINCE AT HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEE B SYRIA (PRESIDENT AND CEO)
(828) 465-8019
Entity
Organization
Contact information
Practice address
100 ANNA GOODE WAY, SUFFOLK, VA 23434-9236
(757) 923-5559
(757) 257-0421
Mailing address
100 ANNA GOODE WAY, SUFFOLK, VA 23434-9236
(757) 923-5559
(757) 257-0421
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
01/12/2021
Last updated
03/14/2025
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