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Organization

A TENDER HEART

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. KATRINA LYNCH (OWNER)
(804) 517-0209
Entity
Organization

Contact information

Practice address
11606 NEW FOREST TRL, MIDLOTHIAN, VA 23112-3080
(804) 517-0209
(877) 733-6269
Mailing address
11606 NEW FOREST TRL, MIDLOTHIAN, VA 23112-3080
(804) 517-0209
(877) 733-6269

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0165278075
VA
Enumeration date
10/30/2014
Last updated
10/30/2014
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