| Jl Support Services, Llc | |
|
1907 Lazenbury Rd Bedford VA 24523-6224 | |
| (540) 587-0156 | |
| (540) 587-0156 |
| Full Name | Jl Support Services, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1907 Lazenbury Rd, Bedford, Virginia |
| Authorized Official Name and Position | Juli Larson (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 5405870156 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jl Support Services, Llc 1907 Lazenbury Rd Bedford VA 24523-6224 Ph: (540) 587-0156 | Jl Support Services, Llc 1907 Lazenbury Rd Bedford VA 24523-6224 Ph: (540) 587-0156 |
| NPI Number | 1427355304 |
|---|---|
| Provider Enumeration Date | 02/11/2011 |
| Last Update Date | 02/11/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427355304 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 1552-03-001 (Virginia) | Primary |
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