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  • 491649
CCN: 491649 NPI: 1174112445 Organization

LAKE PRINCE WOODS AT HOME LLC

100 ANNA GOODE WAY
SUFFOLK, VA 234349236

Contact Information

  • Phone 7579235559
  • Fax 7572570421
  • Enumeration Date 2021-01-12
  • Last Updated 2025-03-14

Taxonomies

  • Code: 251G00000X (Primary)

Inpatient Payment Attributes (IPSF) View Dictionary →

censusDivision 6
cbsaActualGeographicLocation 47260
providerType 35
censusDivision 6
cbsaActualGeographicLocation 47260
providerType 35
censusDivision 0
cbsaActualGeographicLocation 47260
providerType 35
censusDivision 0
cbsaActualGeographicLocation 47260
providerType 35
censusDivision 0
cbsaActualGeographicLocation 47260
providerType 35

Outpatient Payment Attributes (OPSF) View Dictionary →

cbsaActualGeographicLocation 47260
providerType 35
specialPaymentIndicator
carrierCode 11302
localityCode 00
cbsaActualGeographicLocation 47260
providerType 35
specialPaymentIndicator
carrierCode 11302
localityCode 00
cbsaActualGeographicLocation 47260
providerType 35
specialPaymentIndicator
carrierCode 11302
localityCode 00
cbsaActualGeographicLocation 47260
providerType 35
specialPaymentIndicator
carrierCode 11302
localityCode 00
cbsaActualGeographicLocation 47260
providerType 35
specialPaymentIndicator
carrierCode 11302
localityCode 00

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