Organization
LC REHAB LLC
Active
Organization
LC REHAB LLC
Active
Other names
REHAB HEALTH CARE
Organization subpart
No
Provider details
NPI number
Authorized official
LORRIE EDWARDS (ACCOUNTING/OFFICE MANAGER)
(757) 466-1553
Entity
Organization
Contact information
Practice address
50 ANDREW RUSSELL LANE, FISHERSVILLE, VA 22939
(757) 466-1553
(866) 742-0760
Mailing address
5873 POPLAR HALL DR, NORFOLK, VA 23502-3815
(757) 466-1553
(866) 742-0760
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
43016
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010207720
—
VA
Enumeration date
08/05/2010
Last updated
08/05/2010
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