Provider Demographics
NPI:1316327513
Name:E&G ENTERPRISES, LLC
Entity type:Organization
Organization Name:E&G ENTERPRISES, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RAYMOND
Authorized Official - Middle Name:B
Authorized Official - Last Name:LOWE
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:757-569-7777
Mailing Address - Street 1:220 MIDDLE ST
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:VA
Mailing Address - Zip Code:23851-1758
Mailing Address - Country:US
Mailing Address - Phone:757-569-7777
Mailing Address - Fax:757-569-1297
Practice Address - Street 1:220 MIDDLE ST
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:VA
Practice Address - Zip Code:23851-1758
Practice Address - Country:US
Practice Address - Phone:757-569-7777
Practice Address - Fax:757-569-1297
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-02
Last Update Date:2015-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAHCO151002251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAHCO151002OtherSTATE LICENSE