Mediquip Rehabilitative Equipment And Supplies
Durable Medical Equipment & Medical Supplies in Lake City, GA. Organization (NPI-2).
NPI number1043418593
StatusActive
Last updated in NPPESApr 7, 2010
Details
- NPI
- 1043418593
- Entity type
- Organization (NPI-2)
- Legal business name
- Mediquip Rehabilitative Equipment And Supplies
- Organization subpart
- No
- Enumeration date
- Jul 6, 2007
- Last updated
- Apr 7, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | Yes |
Practice location
2084 Rex RdSuite 3
Lake City, GA 30260-3960
Phone 404-362-9855 · Fax 404-362-9856
Mailing address
2084 Rex RdSuite 3
Lake City, GA 30260-3960
Phone 404-362-9855 · Fax 404-362-9856
Authorized official
Kristi R Jordan
Ceo
4043629855
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