Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Customized Equipment |
332BC3200X | 87 | All Other Suppliers |
| NPI # | 1447232442 |
| LBN Legal business name | MANGOLD MEMORIAL HOME MEDICAL EQUIPMENT |
| Authorized official | SHARON HUNT - (ADMINISTRATOR) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 11/16/2005 |
| Last updated | 08/22/2020 - About 6 years ago |
| Identifiers | n/a |
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