NPI 1043552599
Green Valley Dme LLC
Practice location
- Address
- 3957 Pender Dr Suite 104, Fairfax, VA 22030-6027
- Phone
- (703) 865-5595
- Fax
- (703) 995-4543
- Mailing address
- 3949 Pender Dr STE 140, Fairfax, VA 22030-6088
Authorised official
- Name
- Ehab Shafik
- Title
- President
- Phone
- (703) 865-5595
Registered specialties
Durable Medical Equipment & Medical Supplies
Primary
Registry record
- NPI
- 1043552599
- Entity type
- Organization
- NPI issued
- 22 Mar 2013
- Record last updated
- 17 Feb 2016
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.