Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Oxygen Equipment & Supplies |
332BX2000X | B1 | Oxygen supplier |
| NPI # | 1972922003 |
| LBN Legal business name | AMERICOAST SPRINGFIELD LLC |
| Authorized official | JENNIFER KUCZEWSKI - (VICE PRESIDENT) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | 04/16/2014 |
| Last updated | 04/16/2014 - About 12 years ago |
| Identifiers | n/a |
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