Vashti Center
Prosthetic/Orthotic Supplier in Chesapeake, VA. Organization (NPI-2).
NPI number1730352725
StatusActive
Last updated in NPPESNov 19, 2012
Details
- NPI
- 1730352725
- Entity type
- Organization (NPI-2)
- Legal business name
- Vashti Center
- Organization subpart
- Yes
- Enumeration date
- Apr 10, 2008
- Last updated
- Nov 19, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 335E00000X | Prosthetic/Orthotic Supplier | – | – | Yes |
| 332BC3200X | Durable Medical Equipment & Medical Supplies, Customized Equipment | – | – |
Practice location
720 Tapestry Park LoopSuite 239
Chesapeake, VA 23320-5511
Phone 404-942-7688
Mailing address
720 Tapestry Park LoopSuite 239
Chesapeake, VA 23320-5511
Phone 404-942-7688
Authorized official
Marilon Green-Hickson
Ceo/President
4044064478
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