Healthcare Provider Details

I. General information

NPI: 1073534277
Provider Name (Legal Business Name): THE RICHMOND LIGHT COMPANY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/22/2006
Last Update Date: 06/10/2020
Certification Date: 06/10/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9840 OXBRIDGE PLACE SUITE 200
N CHESTERFIELD VA
23236
US

IV. Provider business mailing address

9840 OXBRIDGE PLACE SUITE 200
N CHESTERFIELD VA
23236
US

V. Phone/Fax

Practice location:
  • Phone: 804-276-0559
  • Fax: 804-276-5378
Mailing address:
  • Phone: 804-276-0559
  • Fax: 804-276-5378

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: HALEY WHITE
Title or Position: VICE PRESIDENT
Credential:
Phone: 216-831-0600