Organization Name: | ENTERAL PRODUCTS LLC |
NPI Number: | 1285078717 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | YISOREL Z RECHNITZ (AUTHORIZED OFFICIAL) |
Mailing Address: | 1760 Moriah Woods Blvd 2-b Memphis |
State: | TN US |
Postal Code: | 381177128 |
Phone Number: | 8778639266 |
Fax Number: | 9012605202 |
NPI Enumeration Date: | 04/26/2013 |
NPI Last Update Date: | 07/31/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | C000958 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | AZ |
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 |