Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Oxygen Equipment & Supplies |
332BX2000X | B1 | Oxygen supplier | |
Durable Medical Equipment & Medical Supplies |
332B00000X | 54 | Other Medical Supply Company |
| NPI Number | 1639364953 |
| LBN Legal business name | VICTORY MEDICAL EQUIPMENT LLC |
| Authorized official | KEVIN MORGAN - (SUPERVISOR) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 09/10/2007 |
| Last updated | 10/27/2007 - About 19 years ago |
| Identifiers | n/a |
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