Organization
VITAL CARE OF SOUTHWEST VIRGINIA, INC.
Active
Organization
VITAL CARE OF SOUTHWEST VIRGINIA, INC.
Active
Other names
Vital Care of Southwest Virginia
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVEN D. WILLIAMS (OWNER)
(276) 964-0555
Entity
Organization
Contact information
Practice address
305 OLD KENTUCKY TPKE, CEDAR BLUFF, VA 24609-9401
(276) 964-0555
(276) 964-2999
Mailing address
305 OLD KENTUCKY TPKE, CEDAR BLUFF, VA 24609-9401
(276) 964-0555
(276) 964-2999
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0201004074
VA
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
0201004074
VA
333600000X
Pharmacy
0201004074
VA
3336H0001X
Home Infusion Therapy Pharmacy
0201004074
VA
Other
Enumeration date
10/20/2014
Last updated
10/20/2014
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