Organization
I'M STILL ME, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VICTORIA LAROSA (OWNER, MANAGING MEMBER)
(540) 878-2136
Entity
Organization
Contact information
Practice address
5442 OLD ALEXANDRIA TPKE, WARRENTON, VA 20187-9360
(540) 878-2136
(540) 878-2137
Mailing address
5442 OLD ALEXANDRIA TPKE, WARRENTON, VA 20187-9360
(540) 878-2136
(540) 878-2137
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010167388
—
VA
01
—
11492275
CAQH PROVIDER ID
VA
Enumeration date
08/09/2005
Last updated
02/04/2009
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