Organization
JMS BUILDERS DEVELOPERS
Active
Parent organization
AMITY FELLOWSERVE INC. DBA KISSITO HEALTHCARE
Organization subpart
Yes
Provider details
NPI number
Legal business name
AMITY FELLOWSERVE INC. DBA KISSITO HEALTHCARE
Authorized official
MR. JOHN M SURPRENANT (CEO)
(540) 254-6627
Entity
Organization
Contact information
Practice address
1481 LITTLE TIMBER RDG, BUCHANAN, VA 24066-4840
(540) 254-6627
(540) 254-6630
Mailing address
1481 LITTLE TIMBER RDG, BUCHANAN, VA 24066-4840
(540) 254-6627
(540) 254-6630
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2705077143A
CONTRACTOR'S LICENSE
VA
Enumeration date
01/20/2012
Last updated
02/01/2012
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