1568647477 NPI number — ALL THE BEST COMFORT DURABLE MEDICAL EQUIPMENT AND SUPPLIES

Table of content: (NPI 1568647477)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1568647477 NPI number — ALL THE BEST COMFORT DURABLE MEDICAL EQUIPMENT AND SUPPLIES

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ALL THE BEST COMFORT DURABLE MEDICAL EQUIPMENT AND SUPPLIES
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1568647477
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/09/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3617 HERBERT ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NORFOLK
Provider Business Mailing Address State Name:
VA
Provider Business Mailing Address Postal Code:
23513-2115
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
757-761-1108
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
385 NAVAL BASE RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NORFOLK
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
23505-3615
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
757-761-1108
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/09/2008

Additional Information

Authorized Official

Authorized Official Last Name:
LAZO
Authorized Official First Name:
JEN ROSELYN
Authorized Official Middle Name:
M
Authorized Official Title or Position:
OWNER/PROPRIETOR
Authorized Official Telephone Number:
757-761-1108

Provider Taxonomy Codes

  • Taxonomy code: 332B00000X , with the licence number:  900980 , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2024 www.npivalidator.com