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Organization

PENNINGTON GAP HMA INC

Active
Other names
Lee Regional Home Health
Organization subpart
No

Provider details

NPI number
Authorized official
TIMOTHY PARRY ESQ (SR VP AND GENERAL COUNSEL)
(239) 598-3176
Entity
Organization

Contact information

Practice address
WEST MORGAN AVENUE, PENNINGTON GAP, VA 24277
(276) 546-1440
Mailing address
WEST MORGAN AVENUE, PENNINGTON GAP, VA 24277
(276) 546-1440

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
442392
BLUE CROSS VA HHA
VA
Enumeration date
06/09/2006
Last updated
08/22/2020
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