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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