Provider Demographics
NPI:1568646438
Name:REID'S ENTERPRISES
Entity Type:Organization
Organization Name:REID'S ENTERPRISES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:L
Authorized Official - Last Name:REID
Authorized Official - Suffix:JR
Authorized Official - Credentials:BLDG CONTRACTOR
Authorized Official - Phone:540-662-6457
Mailing Address - Street 1:464 LAYSIDE DR
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:22602-2123
Mailing Address - Country:US
Mailing Address - Phone:540-662-6457
Mailing Address - Fax:
Practice Address - Street 1:464 LAYSIDE DR
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:VA
Practice Address - Zip Code:22602-2123
Practice Address - Country:US
Practice Address - Phone:540-662-6457
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-27
Last Update Date:2007-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2701033372A332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies