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Active Life Health Of Alpharetta LLC

Durable Medical Equipment & Medical Supplies in Alpharetta, GA. Organization (NPI-2).

NPI number1265101596
StatusActive
Last updated in NPPESFeb 4, 2022

Details

NPI
1265101596
Entity type
Organization (NPI-2)
Legal business name
Active Life Health Of Alpharetta LLC
Organization subpart
No
Enumeration date
Sep 9, 2021
Certification date
Feb 4, 2022
Last updated
Feb 4, 2022

Taxonomy and licenses

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

Other names

  • Arthritis Knee Pain Centers (Doing Business As)

Practice location

4165 Old Milton Pkwy Ste 200
Alpharetta, GA 30005-4478

Phone 770-755-1771 · Fax 770-370-8140

Mailing address

4165 Old Milton Pkwy Ste 200
Alpharetta, GA 30005-4478

Phone 770-755-1771 · Fax 770-370-8140

Authorized official

John J Rush
Chairman & Chief Executive Officer
7707551771

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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