institution
The Laurels Of Charlottesville, Llc
Parenteral & Enteral Nutrition Supplies (DME) in Charlottesville, Virginia
NPI 1447335179

The Laurels Of Charlottesville, Llc is a Parenteral & Enteral Nutrition Supplies (DME) based in Charlottesville, VA and is specialized in Parenteral & Enteral Nutrition. The Laurels Of Charlottesville, Llc practices in Charlottesville, VA. The NPI Number for The Laurels Of Charlottesville, Llc is 1447335179 and holds a License No. NH2754 (Virginia).

The current practice location address for The Laurels Of Charlottesville, Llc is 1165 Pepsi Pl, Charlottesville, VA and can be reached out via phone at 434-951-4200 and via fax at 434-951-4201. You can also correspond with The Laurels Of Charlottesville, Llc through the mailing address at 1165 PEPSI PL, CHARLOTTESVILLE, VA - 22901-2866 (mailing address contact number: 434-951-4200).

Location: 1165 Pepsi Pl, Charlottesville, VA, 22901-2866
institution
Provider Profile Details
NPI Number
1447335179
Provider Name
The Laurels Of Charlottesville, Llc
Credential
Provider Entity Type
Organization
Address
1165 Pepsi Pl, Charlottesville, VA, 22901-2866
Phone Number
434-951-4200
Fax Number
434-951-4201
Provider Enumeration Date
10/25/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
7105596 01 VA UNITED HEALTH CARE ID #
147664 01 VA BC/BS #
NH2754 01 VA NH LICENSE #
institution
Provider Business Practice Location Address Details
Address
1165 Pepsi Pl
City
State
Zip
22901-2866
Phone Number
434-951-4200
Fax Number
434-951-4201
person
Provider Business Mailing Address Details
Address
1165 Pepsi Pl
City
State
Zip
22901-2866
Phone Number
434-951-4200
Fax Number
434-951-4201
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Parenteral & Enteral Nutrition
Taxonomy
License No.
NH2754 (Virginia)
Definition
Definition to come...
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