Provider Demographics
NPI:1063754141
Name:CARY ASSOCIATES LLC
Entity type:Organization
Organization Name:CARY ASSOCIATES LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:DAMON
Authorized Official - Middle Name:
Authorized Official - Last Name:CARY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-582-2733
Mailing Address - Street 1:107 HIGHFIELD RD
Mailing Address - Street 2:
Mailing Address - City:SUFFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23434-9253
Mailing Address - Country:US
Mailing Address - Phone:757-338-5333
Mailing Address - Fax:
Practice Address - Street 1:4433 GODWIN BLVD
Practice Address - Street 2:SUITE D
Practice Address - City:SUFFOLK
Practice Address - State:VA
Practice Address - Zip Code:23434-8483
Practice Address - Country:US
Practice Address - Phone:757-338-5333
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-26
Last Update Date:2013-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care