Organization
HOME INFUSION RICHMOND, LLC
Active
Other names
Vital Care of Richmond
Organization subpart
No
Provider details
NPI number
Authorized official
STEFAN D DEBSKI (OWNER/PIC)
(804) 554-1500
Entity
Organization
Contact information
Practice address
9323 MIDLOTHIAN TPKE STE S, RICHMOND, VA 23235-4942
(804) 554-1500
(804) 510-2244
Mailing address
9323 MIDLOTHIAN TPKE STE S, RICHMOND, VA 23235-4942
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
3336H0001X
Home Infusion Therapy Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1265055883
—
VA
01
—
7855650001
MEDICARE
VA
Enumeration date
05/19/2020
Last updated
11/25/2020
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