Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Oxygen Equipment & Supplies |
332BX2000X | B1 | Oxygen supplier |
| NPI Number | 1740521335 |
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| LBN Legal business name | STAR VALLEY MEDICAL SUPPLY LLC | ||||
| Authorized official | REBECCA ERICKSON - (OWNER) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 03/07/2013 | ||||
| Last updated | 04/12/2021 - About 5 years ago | ||||
| Identifiers |
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