Individual
MELISSA LYNNE GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
224 FISHERSVILLE RD, FISHERSVILLE, VA 22939-2250
(540) 949-8546
Mailing address
5100 JACKSON RIVER RD, HOT SPRINGS, VA 24445-2209
(404) 520-4841
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000000000
VIRGINIA AUXILLARY GRANT PROGRAM
VA
Enumeration date
05/19/2018
Last updated
06/11/2019
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