Durable Medical Equipment & Otc Store LLC
Durable Medical Equipment & Medical Supplies in Hampton, VA. Organization (NPI-2).
NPI number1821789553
StatusActive
Last updated in NPPESMay 15, 2023
Details
- NPI
- 1821789553
- Entity type
- Organization (NPI-2)
- Legal business name
- Durable Medical Equipment & Otc Store LLC
- Organization subpart
- No
- Enumeration date
- May 15, 2023
- Certification date
- May 15, 2023
- Last updated
- May 15, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | Yes |
| 332BC3200X | Durable Medical Equipment & Medical Supplies, Customized Equipment | – | – | |
| 332BD1200X | Durable Medical Equipment & Medical Supplies, Dialysis Equipment & Supplies | – | – | |
| 332BX2000X | Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies | – | – |
Practice location
1702 Todds Ln Ste 172Hampton, VA 23666-3196
Phone 757-870-9833
Mailing address
4001 Mount Laurel RdWilliamsburg, VA 23188-6613
Phone 757-870-9833
Authorized official
Leslie A Young
Ceo
7578709833
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