Organization
HEALTH CARE SOLUTIONS-DME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANNETTE VERNELL WATTS-DAVIS (OWNER)
(804) 526-8018
Entity
Organization
Contact information
Practice address
20605 THIRD AVE, ETTRICK, VA 23803-2005
(804) 451-9359
(804) 451-9360
Mailing address
PO BOX 580, COLONIAL HEIGHTS, VA 23834-0580
(804) 451-9359
(804) 451-9360
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
332B00000X
VA
332BC3200X
Customized Equipment (DME)
33BC3200X
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010053811
—
VA
Enumeration date
11/15/2007
Last updated
06/23/2008
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