Fort Shelby Manor
NPI #1609390848 in Bristol, Virginia
Provider Information
- NPI Number
- 1609390848
- Entity Type
- Organization
- Organization Name
- Fort Shelby Manor
- Primary Specialty
- Private Vehicle
- Enumeration Date
- Jul 31, 2017
- Last Updated
- Jul 21, 2022
Practice Location
Authorized Official
- Name
- LAVERNE CANTER
- Title
- OWNER
- Phone
- (276) 466-3790
Specialties & Taxonomy Codes
| Specialty |
|---|
| Private Vehicle |
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