Organization Name: | REDLERS PROF PHCY INC |
NPI Number: | 1316049752 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TROY REDLER (VP) |
Mailing Address: | 1010 W 29th St Ste 214 South Sioux City |
State: | NE US |
Postal Code: | 68776 |
Phone Number: | 4024945542 |
Fax Number: | 4024942207 |
NPI Enumeration Date: | 09/05/2006 |
NPI Last Update Date: | 07/26/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332BN1400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | Nursing Facility Supplies |
Taxonomy Definition: |