Organization
CROCKETT HOME IMPROVEMENT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WALTER G CROCKETT (CEO)
(540) 382-8747
Entity
Organization
Contact information
Practice address
1255 RADFORD ST, CHRISTIANSBURG, VA 24073-2845
(540) 382-8747
(540) 381-4316
Mailing address
1255 RADFORD ST, CHRISTIANSBURG, VA 24073-2845
(540) 382-8747
(540) 381-4316
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
2705035703A
VA
Other
Enumeration date
10/08/2008
Last updated
10/08/2008
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