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A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient?s use in the home and that are usable for an extended period of time.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Durable Medical Equipment & Medical Supplies |
332B00000X | 54 | Other Medical Supply Company |
| NPI # | 1902370885 |
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| LBN Legal business name | ACTIVE LIFESTYLE MEDICAL, LLC | ||||||||||||||||||||||||
| Authorized official | ROBBIE ELY - (PRESIDENT) | ||||||||||||||||||||||||
| Entity | Organization | ||||||||||||||||||||||||
| Organization subpart 1 | No | ||||||||||||||||||||||||
| Enumeration date | 01/14/2019 | ||||||||||||||||||||||||
| Last updated | 05/18/2022 - About 4 years ago | ||||||||||||||||||||||||
| Identifiers |
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ACTIVE LIFESTYLE MEDICAL, LLC