Organization
JAMARRS HANDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DORTHEA MORNET KIRBY (SERVICE FACILATOR)
(276) 252-1043
Entity
Organization
Contact information
Practice address
3090 BASSETT HEIGHTS ROAD EXT, BASSETT, VA 24055-4812
(276) 252-1043
(276) 421-2300
Mailing address
3090 BASSETT HGHTS RD, BASSETT, VA 24055-4815
(276) 252-1043
(276) 421-2300
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
45-0674833
VA
Other
Enumeration date
07/10/2015
Last updated
07/10/2015
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