Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Oxygen Equipment & Supplies |
332BX2000X | B1 | Oxygen supplier | |
Home Infusion |
251F00000X | |||
Nursing Care |
251J00000X | |||
Parenteral & Enteral Nutrition |
332BP3500X | 87 | All Other Suppliers |
| NPI # | 1326121369 |
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| LBN Legal business name | INNOVATIVE SERVICES INC | ||||||||||||||||
| Authorized official | ALYCE CROSSMAN - (VP, CIO) | ||||||||||||||||
| Entity | Organization | ||||||||||||||||
| Organization subpart 1 | No | ||||||||||||||||
| Enumeration date | 10/23/2006 | ||||||||||||||||
| Last updated | 09/16/2019 - About 7 years ago | ||||||||||||||||
| Identifiers |
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