Provider Demographics
NPI:1568782159
Name:FAMILY HEARING CARE CENTERS
Entity Type:Organization
Organization Name:FAMILY HEARING CARE CENTERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HEARING AID SPECALIST
Authorized Official - Prefix:
Authorized Official - First Name:SHERRY
Authorized Official - Middle Name:GRAHAM
Authorized Official - Last Name:DEEB
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:540-808-5398
Mailing Address - Street 1:1870 MOUNTAINSIDE DR
Mailing Address - Street 2:
Mailing Address - City:BLACKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24060-9202
Mailing Address - Country:US
Mailing Address - Phone:540-808-5398
Mailing Address - Fax:
Practice Address - Street 1:155 WALTERS DR
Practice Address - Street 2:
Practice Address - City:CHRISTIANSBURG
Practice Address - State:VA
Practice Address - Zip Code:24073-1041
Practice Address - Country:US
Practice Address - Phone:540-808-5398
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-04
Last Update Date:2010-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2101001466332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment