Organization
DISABILITY RESOURCE CENTER OF THE RAPPAHANNOCK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEBRA KEITH FULTS (EXECUTIVE DIRECTOR)
(540) 373-2559
Entity
Organization
Contact information
Practice address
409 PROGRESS ST, FREDERICKSBURG, VA 22401-3337
(540) 373-2559
Mailing address
409 PROGRESS ST, FREDERICKSBURG, VA 22401-3337
(540) 373-2559
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0087430457
—
VA
Enumeration date
04/23/2008
Last updated
04/23/2008
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