Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Nursing Facility Supplies |
332BN1400X | 87 | All Other Suppliers | |
Prosthetic/Orthotic Supplier |
335E00000X | 51 | Medical Supply Company with Orthotist |
| NPI Number | 1154693778 |
| LBN Legal business name | MEDIQUIP REHABILITATIVE EQUIPMENT & SUPPLIES PLUS LLC |
| Authorized official | AMY DANIELLY - (MANAGING OWNER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 01/27/2012 |
| Last updated | 01/27/2012 - About 14 years ago |
| Identifiers | n/a |
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