Organization
ILS MEDICAL, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN G MOSS SR. (DIRECTOR OF ADMIN SERVICES)
(877) 581-1821
Entity
Organization
Contact information
Practice address
3612 PRUDEN BLVD STE B, SUFFOLK, VA 23434-7204
(877) 571-1821
Mailing address
2085 LYNNHAVEN PKWY STE 106-253, VIRGINIA BEACH, VA 23456-1497
(877) 581-1821
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
VA
253Z00000X
In Home Supportive Care Agency
—
VA
Other
Enumeration date
11/07/2012
Last updated
11/07/2012
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