Organization
1 SOURCE SOLUTIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROSILAND RENEE FRIDAY (PRESIDENT/CEO)
(757) 685-6505
Entity
Organization
Contact information
Practice address
6505 HARBOUR POINTE DR, SUFFOLK, VA 23435-3181
(757) 685-6505
(757) 484-7429
Mailing address
6505 HARBOUR POINTE DR, SUFFOLK, VA 23435-3181
(757) 685-6505
(757) 484-7429
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
011511
VA
332BD1200X
Dialysis Equipment & Supplies (DME)
011511
VA
Other
Enumeration date
03/20/2008
Last updated
03/20/2008
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