Mystic Meadow Group Home, LLC
Mystic Meadow Group Home, LLC is an Intellectual and/or Developmental Disabilities Residential Treatment Facility in Lynchburg, Virginia. Licensed in Virginia. Registered with an NPI since 2011.
- Licensed in
- VA
- In the registry since
- 2011
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
2157 Campbell AveLynchburg, VA 24501-6405
Phone: (434) 847-2001
Fax: (434) 847-2022
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Intellectual and/or Developmental Disabilities Residential Treatment Facility (primary) | Taxonomy 320600000X (VA) |
|---|
Record details
| NPI number | 1528347358 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Valerie Elliott — President · (434) 847-2001 |
| NPI enumerated | August 10, 2011 |
| Last updated in NPPES | August 10, 2011 |
| Mailing address | 2157 Campbell Ave, Lynchburg, VA 24501-6405 |
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