Regenaderm LLC
Durable Medical Equipment & Medical Supplies in Sherwood, AR. Organization (NPI-2).
NPI number1104658293
StatusActive
Last updated in NPPESApr 3, 2025
Details
- NPI
- 1104658293
- Entity type
- Organization (NPI-2)
- Legal business name
- Regenaderm LLC
- Organization subpart
- No
- Enumeration date
- Aug 16, 2024
- Certification date
- Apr 3, 2025
- Last updated
- Apr 3, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | Yes |
Practice location
7510 Highway 107Sherwood, AR 72120-4645
Phone 479-439-9696 · Fax 479-485-2055
Mailing address
Po Box 105Farmington, AR 72730-0105
Phone 479-439-9696 · Fax 479-485-2055
Authorized official
Charles Floyd
Ceo
5015293953
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All 5 Durable Medical Equipment & Medical Supplies providers in Sherwood · All 790 providers in Sherwood
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