Organization
CALVIN JAYNE CONSTRUCTION SERVICES LLC
Active
Other names
N/A
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER JAYNE WHITE MEMBER (MEMBER)
(804) 550-8675
Entity
Organization
Contact information
Practice address
6688 TATUM RD, DISPUTANTA, VA 23842-6902
(804) 550-8675
Mailing address
6688 TATUM RD, DISPUTANTA, VA 23842-6902
(804) 550-8675
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
2705135545
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2705135545
ENVIRONMENTAL MODIFICATIONS
VA
Enumeration date
11/19/2014
Last updated
11/19/2014
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