Organization
GENERATION'S HOME MEDICAL EQUIPMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEONARD STATHAM GILLIAM III (PRESIDENT)
(434) 455-5515
Entity
Organization
Contact information
Practice address
1032 CLAYMONT DR, LYNCHBURG, VA 24502-4480
(434) 455-5515
(434) 455-5517
Mailing address
1032 CLAYMONT DR, LYNCHBURG, VA 24502-4480
(434) 455-5515
(434) 455-5517
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
0206009288
VA
Other
Enumeration date
08/01/2006
Last updated
09/21/2007
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