Organization
DURABLE MEDICAL EQUIPMENT & OTC STORE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LESLIE A YOUNG (CEO)
(757) 870-9833
Entity
Organization
Contact information
Practice address
1702 TODDS LN STE 172, HAMPTON, VA 23666-3196
(757) 870-9833
Mailing address
4001 MOUNT LAUREL RD, WILLIAMSBURG, VA 23188-6613
(757) 870-9833
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
332BD1200X
Dialysis Equipment & Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
Other
Enumeration date
05/15/2023
Last updated
05/15/2023
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