Healthcare Provider Details

I. General information

NPI: 1205801479
Provider Name (Legal Business Name): FALLS PLAZA HEARING CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/21/2006
Last Update Date: 10/25/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

319 FALLS DR NW
ABINGDON VA
24210-8093
US

IV. Provider business mailing address

319 FALLS DR NW
ABINGDON VA
24210-8093
US

V. Phone/Fax

Practice location:
  • Phone: 276-676-1111
  • Fax: 276-676-1112
Mailing address:
  • Phone: 276-676-1111
  • Fax: 276-676-1112

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number2201000678
License Number StateVA

VIII. Authorized Official

Name: MR. MICHAEL RONALD VALENZA
Title or Position: PRESIDENT
Credential: M.S.
Phone: 276-676-1111