Provider Demographics
NPI:1982295978
Name:VARIETY ENTERPRISES LLC
Entity Type:Organization
Organization Name:VARIETY ENTERPRISES LLC
Other - Org Name:VARIETY DME AND MEDICAL SUPPLIES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MICHAELA
Authorized Official - Middle Name:
Authorized Official - Last Name:GILBERT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-355-9135
Mailing Address - Street 1:1101 30TH ST NW STE 500
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20007-3772
Mailing Address - Country:US
Mailing Address - Phone:202-355-9135
Mailing Address - Fax:202-355-9137
Practice Address - Street 1:1101 30TH ST NW STE 500
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20007-3772
Practice Address - Country:US
Practice Address - Phone:202-355-9135
Practice Address - Fax:202-355-9137
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-01
Last Update Date:2022-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies