Provider Demographics
NPI:1811229255
Name:RYCORP
Entity Type:Organization
Organization Name:RYCORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:E
Authorized Official - Last Name:LALA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-348-5197
Mailing Address - Street 1:4920 DENNY DR
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23464-6205
Mailing Address - Country:US
Mailing Address - Phone:757-348-5197
Mailing Address - Fax:757-337-2810
Practice Address - Street 1:4920 DENNY DR
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23464-6205
Practice Address - Country:US
Practice Address - Phone:757-348-5197
Practice Address - Fax:757-337-2810
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-10
Last Update Date:2010-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2705118606A332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies