Organization
THE LONG ADVOCACY GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ERICA LONG CNA (EXECUTIVE DIRECTOR)
(240) 793-1375
Entity
Organization
Contact information
Practice address
483 MAIN STREET, WARSAW, VA 22572
(240) 793-1375
Mailing address
PO BOX 1063, WARSAW, VA 22572-1063
Taxonomy
Speciality
Code
Description
License number
State
251T00000X
PACE Provider Organization
Primary
—
VA
Other
Enumeration date
12/01/2015
Last updated
12/01/2015
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