Organization
SAMSHINES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHARRON LORRAINE TAYLOR-HAGGETT ATP (OWNER)
(757) 570-3932
Entity
Organization
Contact information
Practice address
5501 BRIXTON RD, WILLIAMSBURG, VA 23185-3868
(757) 570-3932
Mailing address
PO BOX 7011, WILLIAMSBURG, VA 23188-5233
(757) 570-3932
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
S5754090
VA
174400000X
Specialist
S5754090
VA
332BC3200X
Customized Equipment (DME)
Primary
S5754090
VA
Other
Enumeration date
09/30/2015
Last updated
09/30/2015
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