Organization
IVEY CONTACTING SERVICE,INC
Active
Parent organization
IVEY CONTRACTING SERVICE, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
IVEY CONTRACTING SERVICE, INC
Authorized official
MR. MICHAEL LEE JOHNSON SR. (PRESIDENT/CEO)
(703) 992-3535
Entity
Organization
Contact information
Practice address
501 EAST FRNKLIN ST STU 724, RICHMOND, VA 23219
(804) 521-4452
(804) 521-4264
Mailing address
501 E FRANKLIN ST # ST724, RICHMOND, VA 23219-2322
(804) 521-4452
(804) 521-4264
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251E00000X
Home Health Agency
—
—
332900000X
Non-Pharmacy Dispensing Site
—
—
332BC3200X
Customized Equipment (DME)
Primary
—
—
332BN1400X
Nursing Facility Supplies (DME)
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Enumeration date
07/30/2013
Last updated
07/30/2013
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