MEDICARE: TORSHA ALTHEA LYNCH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	320900000X	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
2	311ZA0620X	Adult Care Home Facility

General Provider Information

NPI Number	:	1649006669
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TORSHA ALTHEA LYNCH

Provider Business Mailing Address
First Line	:	355 OLD EASON RD
Second Line	:
City	:	ZEBULON
State	:	NC
Zip	:	27597-7018
Country	:	US
Telephone Number	:	919-395-1413
Fax Number	:

Provider Business Practice Location Address
First Line	:	355 OLD EASON RD
Second Line	:
City	:	ZEBULON
State	:	NC
Zip	:	27597-7018
Country	:	US
Telephone Number	:	919-395-1413
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/09/2024
Last Update Date	:	11/10/2025

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