Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Nursing Facility Supplies |
332BN1400X | 87 | All Other Suppliers |
| NPI Number | 1275709487 |
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| LBN Legal business name | VAL | ||||
| Authorized official | JENNIE TEDDER - (BOOKKEEPER) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 05/07/2008 | ||||
| Last updated | 05/07/2008 - About 18 years ago | ||||
| Identifiers |
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