Organization
DOMINION DME, INC.
Active
Organization
DOMINION DME, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JOANNA WELLS KIBWE (ADMINISTRATOR)
(757) 838-4054
Entity
Organization
Contact information
Practice address
1618 HARDY CASH DR, HAMPTON, VA 23666-2400
(757) 838-4054
(757) 838-8899
Mailing address
1618 HARDY CASH DR, HAMPTON, VA 23666-2400
(757) 838-4054
(757) 838-8899
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9190899
—
VA
Enumeration date
05/23/2006
Last updated
08/22/2020
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