Organization · NPI-2
Modification Concepts LLC
Durable Medical Equipment & Medical Supplies, Customized Equipment · Highland Village, TX
NPI number1366876567
StatusActive
Last updated in NPPESAug 25, 2013
Details
- NPI
- 1366876567
- Entity type
- Organization (NPI-2)
- Legal business name
- Modification Concepts LLC
- Organization subpart
- No
- Enumeration date
- Aug 25, 2013
- Last updated
- Aug 25, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332BC3200X | Durable Medical Equipment & Medical Supplies, Customized Equipment | – | – | Yes |
Other names
- Home Living Modifications Of Texas (Doing Business As)
Practice location
3105 Forest Shores LnHighland Village, TX 75077-6487
Phone 800-715-2563 · Fax 888-564-5237
Mailing address
3105 Forest Shores LnHighland Village, TX 75077-6487
Authorized official
Charles Clute
Ceo
5167079911
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