Organization
LAKE COUNTRY AREA AGENCY ON AGING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GWEN HINZMAN (PRESIDENT/CEO)
(434) 447-7661
Entity
Organization
Contact information
Practice address
1105 W DANVILLE ST, SOUTH HILL, VA 23970-3501
(434) 447-7661
(434) 447-4074
Mailing address
1105 W DANVILLE ST, SOUTH HILL, VA 23970-3501
(434) 447-7661
(434) 447-4074
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
11/03/2017
Last updated
11/03/2017
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