Healthcare Provider Details

I. General information

NPI: 1487570719
Provider Name (Legal Business Name): 913 ENTERPRISES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/29/2026
Last Update Date: 09/26/2026
Certification Date: 09/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9409 LADYSMITH RD
RUTHER GLEN VA
22546-3003
US

IV. Provider business mailing address

9409 LADYSMITH RD
RUTHER GLEN VA
22546-3003
US

V. Phone/Fax

Practice location:
  • Phone: 540-287-6699
  • Fax: 540-645-6069
Mailing address:
  • Phone: 540-287-6699
  • Fax: 540-645-6069

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name: DR. MARY ARMSTEAD
Title or Position: OWNER
Credential: PHD
Phone: 540-287-6699