FORT SHELBY MANOR NPI 1609390848

NPI Information

FORT SHELBY MANOR is a private vehicle in Bristol, VA. The provider is an individual paid to provide non-emergency transportation using their privately owned/leased vehicle. FORT SHELBY MANOR NPI is 1609390848. The provider is registered as an organization entity type.

The provider's business location address is:

200 SOLAR ST
BRISTOL, VA
ZIP 24201-141
Phone: (276) 466-3790

The provider's authorized official is Laverne Canter .
The authorized official title is Owner and has the following contact phone number (276) 466-3790.

The enumeration date for this NPI number is 7/31/2017 and was last updated on 7/21/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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