Organization
SOUTHWEST VIRGINIA HOME MEDICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JIM R DAUGHERTY (MEMBER)
(423) 789-2010
Entity
Organization
Contact information
Practice address
134 CECIL D QUILLEN DR, DUFFIELD, VA 24244-9726
(276) 431-0202
(276) 431-0203
Mailing address
134 CECIL D QUILLEN DR, DUFFIELD, VA 24244-9726
(276) 431-0202
(276) 431-0203
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
0206009338
VA
Other
Enumeration date
05/18/2006
Last updated
08/06/2008
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