Organization Name: | A NEW WAY TO GO DME SUPPLY INC |
NPI Number: | 1154660991 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LETITIA CLARK (OWNER/OFFICE ADMINISTRATOR) |
Mailing Address: | 18319 Sherman St Lansing |
State: | IL US |
Postal Code: | 604383273 |
Phone Number: | 7026867660 |
Fax Number: | 7082518447 |
NPI Enumeration Date: | 02/13/2013 |
NPI Last Update Date: | 04/10/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |