MEDICARE: ACCESSIBILITY INCORPORATED

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171WH0202X	Home Modifications Contractor

General Provider Information

NPI Number	:	1700222536
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ACCESSIBILITY INCORPORATED

Provider Business Mailing Address
First Line	:	1842 KINGSTON AVE
Second Line	:
City	:	NORFOLK
State	:	VA
Zip	:	23503-2610
Country	:	US
Telephone Number	:	757-200-9223
Fax Number	:

Provider Business Practice Location Address
First Line	:	1842 KINGSTON AVE
Second Line	:
City	:	NORFOLK
State	:	VA
Zip	:	23503-2610
Country	:	US
Telephone Number	:	757-200-9223
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MS. LISAMARIE BAXTER
Credential	:
Telephone Number	:	757-200-9223

Provider Enumeration Date	:	05/20/2013
Last Update Date	:	05/20/2013

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