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General NPI Number Information
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NPI Number | 1750305033
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Entity Type | Organization
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Legal Business Name | GRAYSON FACILITY OPERATIONS, LLC
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Dates
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Enumeration Date | 07/27/2006
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Last Update Date | 09/13/2024
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Provider Practice Location Address
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Address Line | 400 S. INDEPENDENCE AVENUE
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City | INDEPENDENCE
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State | VA
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Zip | 24348-3857
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Country | US
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Telephone | 276-773-0303
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Fax | 276-773-0404
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Provider Business Mailing Address
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Address Line | PO BOX 857
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City | INDEPENDENCE
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State | VA
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Zip | 24348-0857
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Country | US
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Telephone | 276-773-0303
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Fax | 276-773-0404
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Authorized Official
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Title or Position | MANAGER
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Name | TIM LEHNER
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Credential |
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Telephone | 770-698-9040
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number |
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License Number State |
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