Healthcare Provider Details
I. General information
NPI: 1578562468
Provider Name (Legal Business Name): CARE REHAB AND ORTHOPAEDIC PRODUCTS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/21/2005
Last Update Date: 11/09/2009
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3930 HORSESHOE BEND RD
KEYSVILLE VA
23947-4514
US
IV. Provider business mailing address
PO BOX 580
MC LEAN VA
22101-0580
US
V. Phone/Fax
- Phone: 434-736-0110
- Fax: 434-736-9016
- Phone: 703-448-9644
- Fax: 703-356-2182
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
CHRISTIAN
HUNT
Title or Position: PRESIDENT
Credential:
Phone: 703-448-9644