| Organization Name: | WRAYCON, LLC |
| NPI Number: | 1710120563 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CLYDE WILLIAM WRAY (PRESIDENT) |
| Mailing Address: | 4505 Martinwood Dr Haymarket |
| State: | VA US |
| Postal Code: | 201692208 |
| Phone Number: | 7034701391 |
| Fax Number: | |
| NPI Enumeration Date: | 04/09/2009 |
| NPI Last Update Date: | 04/09/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 171WH0202X |
| License Number: | 2705117776 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | VA |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Contractor |
| Taxonomy Specialization: | Home Modifications |
| Taxonomy Definition: | |