Organization
VASHTI CENTER
Active
Organization
VASHTI CENTER
Active
Parent organization
ONSITE MEDICAL SERVICES, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ONSITE MEDICAL SERVICES, INC
Authorized official
MRS. MARILON GREEN-HICKSON (CEO/PRESIDENT)
(404) 406-4478
Entity
Organization
Contact information
Practice address
720 TAPESTRY PARK LOOP, SUITE 239, CHESAPEAKE, VA 23320-5511
(404) 942-7688
Mailing address
720 TAPESTRY PARK LOOP, SUITE 239, CHESAPEAKE, VA 23320-5511
(404) 942-7688
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
04/10/2008
Last updated
11/19/2012
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