MEDICARE: RUNK AND PRATT ADULT CARE

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	310400000X	Assisted Living Facility

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1346498318
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RUNK AND PRATT ADULT CARE

Provider Business Mailing Address
First Line	:	20212 LEESVILLE RD
Second Line	:
City	:	LYNCHBURG
State	:	VA
Zip	:	24502-3669
Country	:	US
Telephone Number	:	434-237-7809
Fax Number	:	434-237-6283

Provider Business Practice Location Address
First Line	:	20212 LEESVILLE RD
Second Line	:
City	:	LYNCHBURG
State	:	VA
Zip	:	24502-3669
Country	:	US
Telephone Number	:	434-237-7809
Fax Number	:	434-237-6283

Authorized Official
Title or Position	:	CEO
Name	:	MR. BRIAN RUNK
Credential	:
Telephone Number	:	434-237-2268

Provider Enumeration Date	:	09/03/2008
Last Update Date	:	09/03/2008

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Directions to “RUNK AND PRATT ADULT CARE ” Practice Location

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