Organization
TIMBERLAND ASSOC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH LOREN MANN (OWNER)
(434) 962-1662
Entity
Organization
Contact information
Practice address
150 RIDGEWAY FARM DR., KESWICK, VA 22947
(434) 962-1662
(434) 296-2367
Mailing address
150 RIDGEWAY FARM DR., KESWICK, VA 22947
(434) 962-1662
(434) 296-2367
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
03/07/2014
Last updated
03/07/2014
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