Organization
MSW LIVING 1 LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY JONES (OWNER)
(804) 835-9568
Entity
Organization
Contact information
Practice address
18506 TWISTED OAK TER, SOUTH CHESTERFIELD, VA 23834-4602
(804) 835-9568
Mailing address
PO BOX 903, COLONIAL HEIGHTS, VA 23834-0903
(804) 835-9568
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
—
—
Other
Enumeration date
07/19/2017
Last updated
07/19/2017
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