Bradshaw Home Medical Equipment LLC.
Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies in Prescott Valley, AZ. Organization (NPI-2).
NPI number1790741569
StatusActive
Last updated in NPPESJan 21, 2015
Details
- NPI
- 1790741569
- Entity type
- Organization (NPI-2)
- Legal business name
- Bradshaw Home Medical Equipment LLC.
- Organization subpart
- No
- Enumeration date
- Apr 21, 2006
- Last updated
- Jan 21, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332BX2000X | Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies | 20102224 | AZ | Yes |
Practice location
9350 E Valley RdSte C.
Prescott Valley, AZ 86314-2328
Phone 928-775-8282 · Fax 928-775-8869
Mailing address
9350 E Valley RdSte C.
Prescott Valley, AZ 86314-2328
Phone 928-775-8282 · Fax 928-775-8869
Authorized official
Robert Keller
Owner/President
9287758282
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