Provider Demographics
NPI:1245414309
Name:DEBBIES FOUNDATIONS & APPAREL
Entity Type:Organization
Organization Name:DEBBIES FOUNDATIONS & APPAREL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:LUCILLE
Authorized Official - Middle Name:SMITH
Authorized Official - Last Name:LYONS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-288-5434
Mailing Address - Street 1:1557 N PARHAM RD
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23229-4604
Mailing Address - Country:US
Mailing Address - Phone:804-288-5434
Mailing Address - Fax:804-288-5434
Practice Address - Street 1:1557 N PARHAM RD
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23229-4604
Practice Address - Country:US
Practice Address - Phone:804-288-5434
Practice Address - Fax:804-288-5434
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-26
Last Update Date:2007-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAD02018010332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0708640001Medicare NSC