Provider Demographics
NPI:1083204713
Name:SUZANNE HENRI, INC
Entity Type:Organization
Organization Name:SUZANNE HENRI, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:KADAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:434-439-4790
Mailing Address - Street 1:4700 FORT AVE
Mailing Address - Street 2:
Mailing Address - City:LYNCHBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24502-1504
Mailing Address - Country:US
Mailing Address - Phone:434-439-4790
Mailing Address - Fax:434-439-4790
Practice Address - Street 1:4700 FORT AVE
Practice Address - Street 2:
Practice Address - City:LYNCHBURG
Practice Address - State:VA
Practice Address - Zip Code:24502-1504
Practice Address - Country:US
Practice Address - Phone:434-439-4790
Practice Address - Fax:434-439-4790
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SUZANNE HENRI, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-01-26
Last Update Date:2021-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies