# MAHOGANY DME LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073062105
- **Authorized official:** MR. KEITH PALMER (PRESIDENT)
- **Authorized official phone:** (815) 482-2973

## Contact information

- **Practice address:** 17300 DALLAS PKWY, SUITE 1080, DALLAS, TX 75248-1145
- **Practice address phone:** (815) 482-2973
- **Mailing address:** 17300 DALLAS PKWY, SUITE 1080, DALLAS, TX 75248-1145

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 09/30/2016
- **Last updated:** 09/30/2016