Organization Name: | BETSY A ROSE |
NPI Number: | 1114399011 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BETSY A ROSE (OWNER) |
Mailing Address: | 725 Commonwealth Ave Bristol |
State: | VA US |
Postal Code: | 242013321 |
Phone Number: | 2764668119 |
Fax Number: | |
NPI Enumeration Date: | 10/30/2015 |
NPI Last Update Date: | 12/15/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 1101001369 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |