MEDICARE: ROCKBRIDGE AREA DEPT OF SOC SER

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	251B00000X	Case Management Agency

General Provider Information

NPI Number	:	1790940062
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROCKBRIDGE AREA DEPT OF SOC SER

Provider Business Mailing Address
First Line	:	20 EAST PRESTON ST
Second Line	:
City	:	LEXINGTON
State	:	VA
Zip	:	24450-2324
Country	:	US
Telephone Number	:	540-463-7143
Fax Number	:	540-464-9110

Provider Business Practice Location Address
First Line	:	20 EAST PRESTON ST
Second Line	:
City	:	LEXINGTON
State	:	VA
Zip	:	24450-2324
Country	:	US
Telephone Number	:	540-463-7143
Fax Number	:	540-464-9110

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MRS. MEREDITH KNAPP DOWNEY
Credential	:
Telephone Number	:	540-463-7143

Provider Enumeration Date	:	07/25/2008
Last Update Date	:	07/25/2008

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