Commonwealth Lifespan DBA Fairview
NPI #1932623188 in Clifton Forge, Virginia
Provider Information
- NPI Number
- 1932623188
- Entity Type
- Organization
- Organization Name
- Commonwealth Lifespan DBA Fairview
- Primary Specialty
- Private Vehicle
- Enumeration Date
- Jul 31, 2017
- Last Updated
- Jul 21, 2022
Practice Location
- Address
- 1417 MAIN ST
- City
- Clifton Forge
- State
- Virginia
- ZIP Code
- 24422-1835
- Phone
- (540) 958-0589
Authorized Official
- Name
- LORI ALBERTS
- Title
- OWNER
- Phone
- (540) 958-0589
Specialties & Taxonomy Codes
| Specialty |
|---|
| Private Vehicle |
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