Provider Demographics
NPI:1215472337
Name:R & D SERVICES OF VA., INC
Entity type:Organization
Organization Name:R & D SERVICES OF VA., INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:BITTLE
Authorized Official - Suffix:II
Authorized Official - Credentials:
Authorized Official - Phone:540-315-5126
Mailing Address - Street 1:815 B WASENA AVE.
Mailing Address - Street 2:
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24015
Mailing Address - Country:US
Mailing Address - Phone:540-315-4334
Mailing Address - Fax:540-266-1989
Practice Address - Street 1:815 WASENA AVE SW
Practice Address - Street 2:B
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24015-5305
Practice Address - Country:US
Practice Address - Phone:540-315-4334
Practice Address - Fax:540-266-1989
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-28
Last Update Date:2016-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2705148825253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care