Provider Demographics
NPI:1548530082
Name:R.W.A. RESTORATION LLC
Entity type:Organization
Organization Name:R.W.A. RESTORATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANDREA
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:CASTLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-630-5870
Mailing Address - Street 1:845 CREPE MYRTLE LN
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23455-5813
Mailing Address - Country:US
Mailing Address - Phone:757-630-5870
Mailing Address - Fax:757-277-0100
Practice Address - Street 1:845 CREPE MYRTLE LN
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23455-5813
Practice Address - Country:US
Practice Address - Phone:757-630-5870
Practice Address - Fax:757-277-0100
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-30
Last Update Date:2011-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2705135558171WH0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171WH0202XOther Service ProvidersContractorHome ModificationsGroup - Single Specialty