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 A EDWARDS (ACCOUNTING/OFFICE MANAGER)
(757) 802-9554
Entity
Organization
Contact information
Practice address
1717 ALLIED ST, CHARLOTTESVILLE, VA 22903-5320
(434) 971-8808
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
05
—
653101600
—
MD
05
—
7704399
—
NC
Enumeration date
01/11/2012
Last updated
01/11/2012
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