Provider Demographics
NPI:1689478612
Name:CITADEL HEALTH LLC
Entity type:Organization
Organization Name:CITADEL HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:CINDY
Authorized Official - Middle Name:
Authorized Official - Last Name:LENDERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:478-345-8061
Mailing Address - Street 1:125 PLANTATION CENTRE DR. SOUTH
Mailing Address - Street 2:BUILDING 500 STE. A
Mailing Address - City:MACON
Mailing Address - State:GA
Mailing Address - Zip Code:31210
Mailing Address - Country:US
Mailing Address - Phone:478-345-8061
Mailing Address - Fax:
Practice Address - Street 1:125 PLANTATION CENTRE DR. SOUTH
Practice Address - Street 2:BUILDING 500 STE. A
Practice Address - City:MACON
Practice Address - State:GA
Practice Address - Zip Code:31210
Practice Address - Country:US
Practice Address - Phone:478-345-8061
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-01
Last Update Date:2025-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Single Specialty