Organization
AVANTE AT LYNCHBURG, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LISA WILSON (PRESIDENT)
(954) 987-7180
Entity
Organization
Contact information
Practice address
2081 LANGHORNE RD, LYNCHBURG, VA 24501-1443
(434) 846-8437
(434) 846-5732
Mailing address
4601 SHERIDAN STREET, SUITE 500, HOLLYWOOD, FL 33021-3439
(434) 846-8437
(434) 846-4032
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH2490
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4951514
—
VA
05
—
4960521
—
VA
Enumeration date
10/23/2006
Last updated
11/14/2016
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