Provider Demographics
NPI:1598448110
Name:V W SIGNATURE SOLUTIONS
Entity Type:Organization
Organization Name:V W SIGNATURE SOLUTIONS
Other - Org Name:V W TRICHOLOGY SOLUTIONS
Other - Org Type:Other Name
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:VALERIA
Authorized Official - Middle Name:KIM
Authorized Official - Last Name:WEST
Authorized Official - Suffix:
Authorized Official - Credentials:CT
Authorized Official - Phone:912-417-9599
Mailing Address - Street 1:707 EDEN LN
Mailing Address - Street 2:
Mailing Address - City:HINESVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:31313-3841
Mailing Address - Country:US
Mailing Address - Phone:912-980-8937
Mailing Address - Fax:
Practice Address - Street 1:110 E ML KING JR DR
Practice Address - Street 2:
Practice Address - City:HINESVILLE
Practice Address - State:GA
Practice Address - Zip Code:31313-3660
Practice Address - Country:US
Practice Address - Phone:912-417-9599
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-10
Last Update Date:2024-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment