Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Customized Equipment |
332BC3200X | 87 | All Other Suppliers |
| NPI Number | 1104172006 |
| LBN Legal business name | EMBASSY CAPITAL GROUP, LLC. |
| Authorized official | FRANKLIN REDD - (PRESIDENT) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 07/28/2012 |
| Last updated | 11/01/2012 - About 14 years ago |
| Identifiers | n/a |
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