Organization
THE LAURELS OF BON AIR, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY D. PATTON (CFO)
(614) 794-8800
Entity
Organization
Contact information
Practice address
9101 BON AIR CROSSINGS DRIVE, RICHMOND, VA 23235
(877) 528-7352
Mailing address
9101 BON AIR CROSSINGS DRIVE, RICHMOND, VA 23235
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
Primary
PENDING
VA
Other
Enumeration date
06/29/2007
Last updated
10/05/2007
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