Provider Demographics
NPI:1346712692
Name:FARROW, FRENZELOR ELIZABETH (EXECUTIVE DIRECTOR)
Entity Type:Individual
Prefix:
First Name:FRENZELOR
Middle Name:ELIZABETH
Last Name:FARROW
Suffix:
Gender:F
Credentials:EXECUTIVE DIRECTOR
Other - Prefix:
Other - First Name:ZEL
Other - Middle Name:
Other - Last Name:FARROW
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:1406 TUNBRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:LYNCHBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24501-5318
Mailing Address - Country:US
Mailing Address - Phone:434-229-2770
Mailing Address - Fax:434-385-5241
Practice Address - Street 1:1406 TUNBRIDGE RD
Practice Address - Street 2:
Practice Address - City:LYNCHBURG
Practice Address - State:VA
Practice Address - Zip Code:24501-5318
Practice Address - Country:US
Practice Address - Phone:434-229-2770
Practice Address - Fax:434-385-5241
Is Sole Proprietor?:Yes
Enumeration Date:2018-12-27
Last Update Date:2018-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA3173-08-011253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care