Provider Demographics
NPI:1174753776
Name:TOWN & COUNTRY HEALTH SERVICES & SUPPLIES, INC.
Entity type:Organization
Organization Name:TOWN & COUNTRY HEALTH SERVICES & SUPPLIES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:B
Authorized Official - Last Name:NORMAN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:804-883-6104
Mailing Address - Street 1:16618 MOUNTAIN RD STE D
Mailing Address - Street 2:SUITE D
Mailing Address - City:MONTPELIER
Mailing Address - State:VA
Mailing Address - Zip Code:23192-2649
Mailing Address - Country:US
Mailing Address - Phone:804-883-6104
Mailing Address - Fax:804-883-6037
Practice Address - Street 1:4548 EMPIRE COURT
Practice Address - Street 2:
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22408
Practice Address - Country:US
Practice Address - Phone:540-645-7706
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-17
Last Update Date:2009-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA335E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier