Organization
COURTLAND HEARING AIDS AND BALANCE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHERYL ANN WRAY (OWNER)
(757) 653-7658
Entity
Organization
Contact information
Practice address
22730 MAIN ST, COURTLAND, VA 23837-1127
(757) 653-7532
Mailing address
26089 GUY PLACE RD, COURTLAND, VA 23837-2745
(757) 653-7658
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
2101001409
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1356383558
—
VA
Enumeration date
06/26/2014
Last updated
06/26/2014
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