Organization · Type 2 NPI

Centracare, LLC

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Lynchburg, VA

NPI number 1023343670 Active

Practice location

944 Randolph Ln
Lynchburg, VA 24502-1525

Call (434) 258-7058 Map

Fax (434) 384-5105

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary 320900000X1248-01-001 (VA)

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

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About NPI 1023343670

Centracare, LLC's National Provider Identifier is 1023343670, issued on Oct 14, 2009. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Lynchburg, VA. The record was last updated on Oct 14, 2009.