Organization
BROADSTAR INSTALLS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHNNY CHARLES WILLIAMS IV (PRESIDENT)
(804) 247-4779
Entity
Organization
Contact information
Practice address
4801 OLD WARWICK RD, RICHMOND, VA 23224-4723
(804) 247-4779
(804) 201-4877
Mailing address
4801 OLD WARWICK RD, RICHMOND, VA 23224-4723
(804) 247-4779
(804) 201-4877
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
11/22/2011
Last updated
11/22/2011
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