# ILS MEDICAL, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689928004
- **Authorized official:** BRIAN G MOSS SR. (DIRECTOR OF ADMIN SERVICES)
- **Authorized official phone:** (877) 581-1821

## Contact information

- **Practice address:** 3612 PRUDEN BLVD STE B, SUFFOLK, VA 23434-7204
- **Practice address phone:** (877) 571-1821
- **Mailing address:** 2085 LYNNHAVEN PKWY STE 106-253, VIRGINIA BEACH, VA 23456-1497
- **Mailing address phone:** (877) 581-1821

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | VA | Yes |
| 253Z00000X | In Home Supportive Care Agency | — | VA | — |

## Other

- **Enumeration date:** 11/07/2012
- **Last updated:** 11/07/2012