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NPI Code Detail

MEDICARE: RYCORP

MEDICARE: RYCORP
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
1332B00000XDurable Medical Equipment & Medical Supplies2705118606AVA

General Provider Information

NPI Number : 1811229255
Entity Type Code : Organization
Provider Name (Legal Business Name) : RYCORP
Provider Business Mailing Address
First Line : 4920 DENNY DR
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23464-6205
Country : US
Telephone Number : 757-348-5197
Fax Number : 757-337-2810
Provider Business Practice Location Address
First Line : 4920 DENNY DR
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23464-6205
Country : US
Telephone Number : 757-348-5197
Fax Number : 757-337-2810
Authorized Official
Title or Position : PRESIDENT
Name : MR. JOHN E LALA
Credential :
Telephone Number : 757-348-5197
Provider Enumeration Date : 02/10/2010
Last Update Date : 02/10/2010

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Directions to “RYCORP ” Practice Location

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