Organization
LEUMAS LIGHTED LIFE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHIRLEY HAIRSTON EVERETT (EXECUTIVE DIRECTOR)
(540) 354-5565
Entity
Organization
Contact information
Practice address
32 W CLAY ST, SALEM, VA 24153-3754
(540) 354-5565
(540) 387-0058
Mailing address
32 W CLAY ST, SALEM, VA 24153-3754
(540) 354-5565
(540) 387-0058
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
2019-01-001
VA
Other
Enumeration date
01/05/2015
Last updated
01/05/2015
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