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General NPI Number Information
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NPI Number | 1881684330
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Entity Type | Organization
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Legal Business Name | LEXINGTON LIFE CARE CORP
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Dates
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Enumeration Date | 10/26/2005
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Last Update Date | 11/25/2024
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Provider Practice Location Address
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Address Line | 205 HOUSTON ST
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City | LEXINGTON
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State | VA
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Zip | 24450-2415
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Country | US
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Telephone | 540-464-8181
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Fax | 540-464-8181
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Provider Business Mailing Address
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Address Line | 3131 ELECTRIC RD STE 100
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City | ROANOKE
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State | VA
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Zip | 24018-6427
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Country | US
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Telephone | 540-774-4263
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Fax | 540-774-0780
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Authorized Official
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Title or Position | COMPLIANCE & PRIVACY OFFICER
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Name | CASSANDRA GALLANT
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Credential |
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Telephone | 540-774-4263
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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 | NH2579
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License Number State | VA
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