Organization Name: | RIYA GROUP LLC |
NPI Number: | 1275748824 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SANDY MULLINS (OFFICE MANAGER) |
Mailing Address: | 3928 Lansing Ct Dumfries |
State: | VA US |
Postal Code: | 220262460 |
Phone Number: | 7032212109 |
Fax Number: | 7032210405 |
NPI Enumeration Date: | 05/14/2007 |
NPI Last Update Date: | 08/31/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QU0200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Urgent Care |
Taxonomy Definition: |