Organization
MYSTIC MEADOW GROUP HOME, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VALERIE A ELLIOTT (PRESIDENT)
(434) 847-2001
Entity
Organization
Contact information
Practice address
2157 CAMPBELL AVE, LYNCHBURG, VA 24501-6405
(434) 847-2001
(434) 847-2022
Mailing address
2157 CAMPBELL AVE, LYNCHBURG, VA 24501-6405
(434) 847-2001
(434) 847-2022
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
VA
Other
Enumeration date
08/10/2011
Last updated
08/10/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us