Provider Demographics
NPI:1114262870
Name:TRYCO INCORPORATED
Entity Type:Organization
Organization Name:TRYCO INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NICOLE
Authorized Official - Middle Name:
Authorized Official - Last Name:FLESCH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-934-3452
Mailing Address - Street 1:6736 OLD MCLEAN VILLAGE DR
Mailing Address - Street 2:
Mailing Address - City:MC LEAN
Mailing Address - State:VA
Mailing Address - Zip Code:22101-3906
Mailing Address - Country:US
Mailing Address - Phone:800-934-3452
Mailing Address - Fax:800-689-4763
Practice Address - Street 1:6736 OLD MCLEAN VILLAGE DR
Practice Address - Street 2:
Practice Address - City:MC LEAN
Practice Address - State:VA
Practice Address - Zip Code:22101-3906
Practice Address - Country:US
Practice Address - Phone:800-934-3452
Practice Address - Fax:800-689-4763
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-06
Last Update Date:2012-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0302640-8332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies