Organization · NPI-2

Access Wheelchair Repair, LLC

Durable Medical Equipment & Medical Supplies · Lawrenceville, GA

NPI number1598039497
StatusActive
Last updated in NPPESFeb 24, 2012

Details

NPI
1598039497
Entity type
Organization (NPI-2)
Legal business name
Access Wheelchair Repair, LLC
Organization subpart
No
Enumeration date
Feb 24, 2012
Last updated
Feb 24, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
332B00000X Durable Medical Equipment & Medical Supplies19125027GAYes

Practice location

283 Swanson Dr
Ste 103
Lawrenceville, GA 30043-8547

Phone 770-609-6187 · Fax 770-558-2077

Mailing address

283 Swanson Dr
Ste 103
Lawrenceville, GA 30043-8547

Phone 770-609-6187 · Fax 770-558-2077

Authorized official

Theresa Hayes
Owner/Operations Manager
7706096187

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