Organization
WINDSOR MANOR TRAINING HOME ADULT MIN.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. STEPHANIE DENISE MASSIE (DIRECTOR)
(343) 847-1219
Entity
Organization
Contact information
Practice address
1010 4TH ST, LYNCHBURG, VA 24504-2806
(434) 385-4799
(434) 847-3230
Mailing address
1104 ARDMORE DR, LYNCHBURG, VA 24501-2234
(434) 385-4799
(434) 847-3230
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
0100059631
VA
Other
Enumeration date
12/28/2006
Last updated
08/22/2020
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