L C Rehab Llc

NPI 1205988607 - Durable Medical Equipment & Medical Supplies - 332BC3200X

NPI Details
NPI 1205988607
Enumeration Date 01/17/2007
Last Updated 08/09/2013
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name MAURY WISE MAURY
Position VICE PRESIDENT
Phone (804) 353-7244
Fax (804) 353-5976
Practice Location
2135 STAPLES MILL RD
RICHMOND VA, 23230-2905, US
Phone (804) 353-7244
Fax (804) 353-5976
Business Location
5873 POPLAR HALL DR
NORFOLK VA, 23502-3815, US
Phone (757) 466-1553
Fax (757) 455-8536
Toxanomy
Taxonomy Code 332BC3200X
License State Virginia
License Number 043016L14460
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According to our database, L C Rehab Llc NPI is 1205988607, taxonomy code is 332BC3200X and license number is 043016L14460, license state is located at Virginia. L C Rehab Llc physically located at 2135 Staples Mill Rd, Richmond VA, 23230-2905. NPI Number 1033115704 has the healthcare provider type.

1205988607 NPI number is provided on an as is basis without warranty of any kind. 1205988607 is maintained by the National Plan & Provider Enumeration System. The contents of L C Rehab Llc are for informational purposes only.