Organization Name: | AFFINITY MEDICAL SUPPLIES, LLC |
NPI Number: | 1346551231 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROMUALDO BRUM ROCHA (PRESIDENT) |
Mailing Address: | 2182 Gladstone Ct Suite C Glendale Heights |
State: | IL US |
Postal Code: | 601391517 |
Phone Number: | 8472851758 |
Fax Number: | 8472851759 |
NPI Enumeration Date: | 06/25/2010 |
NPI Last Update Date: | 04/07/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 39923691 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
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 |