institution
The Laurels Of University Park, Llc
Parenteral & Enteral Nutrition Supplies (DME) in Richmond, Virginia
NPI 1558458893

The Laurels Of University Park, Llc is a Parenteral & Enteral Nutrition Supplies (DME) based in Richmond, VA and is specialized in Parenteral & Enteral Nutrition. The Laurels Of University Park, Llc practices in Richmond, VA. The NPI Number for The Laurels Of University Park, Llc is 1558458893 and holds a License No. NH2705 (Virginia).

The current practice location address for The Laurels Of University Park, Llc is 2420 Pemberton Rd, Richmond, VA and can be reached out via phone at 804-747-9200.

Location: 2420 Pemberton Rd, Richmond, VA, 23233-2006
institution
Provider Profile Details
NPI Number
1558458893
Provider Name
The Laurels Of University Park, Llc
Credential
Provider Entity Type
Organization
Address
2420 Pemberton Rd, Richmond, VA, 23233-2006
Phone Number
804-747-9200
Fax Number
Provider Enumeration Date
10/06/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4951093 05 VA
NH2705 01 VA NH LICENSE #
221246 01 VA ANTHEM BC/BS
institution
Provider Business Practice Location Address Details
Address
2420 Pemberton Rd
City
State
Zip
23233-2006
Phone Number
804-747-9200
Fax Number
person
Provider Business Mailing Address Details
Address
2420 Pemberton Rd
City
State
Zip
23233-2006
Phone Number
804-747-9200
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Parenteral & Enteral Nutrition
Taxonomy
License No.
NH2705 (Virginia)
Definition
Definition to come...
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