Organization
UNIQUE HOMES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SIMEON CHARLES SLAYTON II MS (OWNER)
(703) 489-9300
Entity
Organization
Contact information
Practice address
10519 GODWIN DR, MANASSAS, VA 20112-2736
(703) 489-9300
(703) 530-0961
Mailing address
10519 GODWIN DR, MANASSAS, VA 20112-2736
(703) 489-9300
(703) 530-0961
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
2705 124382
VA
Other
Enumeration date
09/27/2012
Last updated
09/27/2012
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