Organization · NPI-2
Phlebo On The Go LLC
Durable Medical Equipment & Medical Supplies · Mableton, GA
NPI number1346058948
StatusActive
Last updated in NPPESDec 28, 2024
Details
- NPI
- 1346058948
- Entity type
- Organization (NPI-2)
- Legal business name
- Phlebo On The Go LLC
- Organization subpart
- No
- Enumeration date
- Dec 28, 2024
- Certification date
- Dec 28, 2024
- Last updated
- Dec 28, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | Yes |
| 174200000X | Meals | – | – | |
| 177F00000X | Lodging | – | – | |
| 251300000X | Local Education Agency (LEA) | – | – | |
| 251C00000X | Day Training, Developmentally Disabled Services | – | – | |
| 251F00000X | Home Infusion | – | – | |
| 251G00000X | Hospice Care, Community Based | – | – | |
| 251J00000X | Nursing Care | – | – | |
| 253Z00000X | In Home Supportive Care | – | – | |
| 261QC1500X | Clinic/Center, Community Health | – | – | |
| 261QI0500X | Clinic/Center, Infusion Therapy | – | – | |
| 261QV0200X | Clinic/Center, VA | – | – | |
| 310400000X | Assisted Living Facility | – | – | |
| 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | – | – | |
| 324500000X | Substance Abuse Rehabilitation Facility | – | – |
Other names
- Phlebo On The Go LLC (Former Legal Business Name)
- Phlebo On The Go LLC (Doing Business As)
Practice location
4745 Legacy Cove LnMableton, GA 30126-2580
Phone 404-769-2464
Mailing address
4745 Legacy Cove LnMableton, GA 30126-2580
Phone 404-769-2464
Authorized official
Glynis Leflore
Ceo
4047692464
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