Mary Medical Equipment And Supplies LLC
Durable Medical Equipment & Medical Supplies in N Little Rock, AR. Organization (NPI-2).
NPI number1750150785
StatusActive
Last updated in NPPESJan 2, 2024
Details
- NPI
- 1750150785
- Entity type
- Organization (NPI-2)
- Legal business name
- Mary Medical Equipment And Supplies LLC
- Organization subpart
- No
- Enumeration date
- Jan 2, 2024
- Certification date
- Jan 2, 2024
- Last updated
- Jan 2, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | Yes |
| 332BC3200X | Durable Medical Equipment & Medical Supplies, Customized Equipment | – | – | |
| 332BD1200X | Durable Medical Equipment & Medical Supplies, Dialysis Equipment & Supplies | – | – | |
| 332BP3500X | Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition | – | – | |
| 332BX2000X | Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies | – | – |
Practice location
13718 Trethorne CirN Little Rock, AR 72117-5052
Phone 501-831-9074
Mailing address
13718 Trethorne CirN Little Rock, AR 72117-5052
Phone 501-831-9074
Authorized official
Marijas A Winston
Owner/Ceo
5018319074
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