Organization
IMMANUEL RESIDENTIAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CANDICE CAGE (DIRECTOR)
(434) 509-9721
Entity
Organization
Contact information
Practice address
1002 WEXFORD PLACE, LYNCHBURG, VA 24502
(434) 509-9721
Mailing address
1002 WEXFORD PL, LYNCHBURG, VA 24502-3221
(434) 509-9721
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
26880
VA
Other
Enumeration date
07/25/2017
Last updated
07/21/2022
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