Organization
BEACH MEDICAL SUPPLIERS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORDAN BROOME (OWNER)
(757) 500-4476
Entity
Organization
Contact information
Practice address
2256 W. GREAT NECK RD, VIRGINIA BEACH, VA 23451
(757) 500-4476
Mailing address
2256 WEST GREAT NECK RD, VIRGINIA BEACH, VA 23451
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
03/13/2018
Last updated
03/13/2018
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