Organization · NPI-2

Loriquen Holdings Dba Kinkistry

Durable Medical Equipment & Medical Supplies · Mableton, GA

NPI number1902569023
StatusActive
Last updated in NPPESOct 15, 2021

Details

NPI
1902569023
Entity type
Organization (NPI-2)
Legal business name
Loriquen Holdings Dba Kinkistry
Organization subpart
Yes
Enumeration date
Oct 15, 2021
Certification date
Oct 15, 2021
Last updated
Oct 15, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
332B00000X Durable Medical Equipment & Medical Supplies––Yes
251B00000X Case Management––

Practice location

5623 Vinings Place Trl
Mableton, GA 30126-5681

Phone 404-416-3818

Mailing address

5623 Vinings Place Trl
Mableton, GA 30126-5681

Phone 404-416-3818

Authorized official

Angela Fite
Owner
4044163818

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Durable Medical Equipment & Medical Supplies providers in Mableton, GA