Organization
ATLANTIC ELEVATORS OF VIRGINIA, LLC
Active
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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