Organization
ATLANTIC ELEVATORS OF VIRGINIA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWARD J. THIBODEAU (MANAGING PARTNER)
(757) 749-9532
Entity
Organization
Contact information
Practice address
2589 QUALITY CT STE 316, VIRGINIA BEACH, VA 23454-5324
(757) 749-9532
(757) 201-6034
Mailing address
2589 QUALITY CT STE 316, VIRGINIA BEACH, VA 23454-5324
(757) 749-9532
(757) 201-6034
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
VA
332BC3200X
Customized Equipment (DME)
—
VA
Other
Enumeration date
11/05/2008
Last updated
11/05/2008
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