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Organization

SPRINGFIELD SUPP CTR INC

Active
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Organization

SPRINGFIELD SUPP CTR INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. NOEMI LOPES ALBISU (OWNER)
(703) 451-7800
Entity
Organization

Contact information

Practice address
6320 AUGUSTA DR STE 705, SPRINGFIELD, VA 22150-2503
(703) 451-7800
(703) 451-4711
Mailing address
6320 AUGUSTA DR STE 405, SPRINGFIELD, VA 22150-2529
(703) 451-7800
(703) 451-4711

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
VA

Other

Enumeration date
03/17/2008
Last updated
04/05/2011
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