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Phoenix Medical Equipment & Supplies, LLC

Durable Medical Equipment & Medical Supplies in Indianapolis, IN. Organization (NPI-2).

NPI number1043469752
StatusActive
Last updated in NPPESAug 8, 2016

Details

NPI
1043469752
Entity type
Organization (NPI-2)
Legal business name
Phoenix Medical Equipment & Supplies, LLC
Organization subpart
No
Enumeration date
Sep 17, 2008
Last updated
Aug 8, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
332B00000X Durable Medical Equipment & Medical Supplies––Yes

Practice location

8809 Southeastern Avenue
Indianapolis, IN 46239-1340

Phone 317-481-8707 · Fax 317-481-8749

Mailing address

8809 Southeastern Avenue
Indianapolis, IN 46239-1340

Phone 317-481-8707 · Fax 317-481-8749

Authorized official

Tricia Ann Paul
President/Owner
3174818707

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