Organization
ADULT CARE CENTER OF CENTRAL VA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANDA K ROWE (EXECUTIVE DIRECTOR)
(434) 847-8111
Entity
Organization
Contact information
Practice address
621 COURT ST, LYNCHBURG, VA 24504-1311
(434) 847-8111
Mailing address
PO BOX 568, LYNCHBURG, VA 24505-0568
(434) 847-8111
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
ADC274922
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0087301815
—
VA
Enumeration date
10/30/2014
Last updated
10/30/2014
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