| Organization Name: | COURTLAND HEARING AIDS AND BALANCE, LLC |
| NPI Number: | 1174938393 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CHERYL ANN WRAY (OWNER) |
| Mailing Address: | 22730 Main St Courtland |
| State: | VA US |
| Postal Code: | 238371127 |
| Phone Number: | 7576537532 |
| Fax Number: | |
| NPI Enumeration Date: | 06/26/2014 |
| NPI Last Update Date: | 06/26/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QH0700X |
| License Number: | 2101001409 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Hearing and Speech |
| Taxonomy Definition: | An entity, facility, or distinct part of a facility providing diagnostic, treatment, prescriptive, and therapy services related to congenital and acquired conditions and diseases that affect hearing capacity and speech ability. |