Organization
LAKEVIEW VIRGINIA NEUROCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JODY CROWLEY MS, CBIS (VICE PRESIDENT OF OPERATIONS,EAST)
(781) 356-6330
Entity
Organization
Contact information
Practice address
1101 E HIGH ST, CHARLOTTESVILLE, VA 22902-4857
(434) 984-5218
(424) 293-2041
Mailing address
10150 HIGHLAND MANOR DR STE 140, TAMPA, FL 33610-9712
(813) 626-1444
(813) 626-1444
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
864
VA
Other
Enumeration date
06/01/2007
Last updated
06/17/2010
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