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Organization

LODESTAR, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BRANDON VARNEY (EXECUTIVE DIRECTOR)
(304) 730-5543
Entity
Organization

Contact information

Practice address
1402 4TH AVE, HUNTINGTON, WV 25701-2403
(304) 529-4276
(304) 529-4278
Mailing address
1402 4TH AVE, HUNTINGTON, WV 25701-2403
(304) 529-4276
(304) 529-4278

Taxonomy

Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary

Other

Enumeration date
09/01/2021
Last updated
09/01/2021
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