Organization
RESTORATION MEDICAL SUPPLIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HANNAH KANU (PRESIDENT)
(703) 333-3059
Entity
Organization
Contact information
Practice address
6399 LITTLE RIVER TPKE STE 201, ALEXANDRIA, VA 22312-5093
(703) 333-3059
(703) 354-0501
Mailing address
6399 LITTLE RIVER TPKE STE 201, ALEXANDRIA, VA 22312-5093
(703) 333-3059
(703) 354-0501
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CISECOM
SCC CERTIFICATE
VA
Enumeration date
11/19/2018
Last updated
11/19/2018
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