Organization
JL SUPPORT SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JULI LARSON (CHIEF EXECUTIVE OFFICER)
(540) 587-0156
Entity
Organization
Contact information
Practice address
1907 LAZENBURY RD, BEDFORD, VA 24523-6224
(540) 587-0156
(540) 587-0156
Mailing address
1907 LAZENBURY RD, BEDFORD, VA 24523-6224
(540) 587-0156
(540) 587-0156
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1552-03-001
VA
Other
Enumeration date
02/11/2011
Last updated
02/11/2011
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