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Contact Information

PARADISE ENTERPRISES LLC
115 TOWN HILL ROAD
SUITE 19
LOUISA, KY41230
 Phone: 606-638-0370
 Fax: 606-638-0111
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
Indicates primary specialty

NPI Profile & details for PARADISE ENTERPRISES LLC

NPI Number 1053331967
LBN Legal business name PARADISE ENTERPRISES LLC
Authorized official JAMES WHITE - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/20/2006
Last updated 01/05/2009 - About 17 years ago
Identifiers
KY License # P06786
KY Medicaid 54003645
KY Other 1827508 NABP NUMBER
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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