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Organization
MED SUPPLIES EXPRESS INC
Active
Organization
MED SUPPLIES EXPRESS INC
Active
Parent organization
MED-SUPPLIES EXPRESS INC
Other names
Med-Supplies Home Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
MED-SUPPLIES EXPRESS INC
Authorized official
MBAUKWU ANABA (OWNER)
(678) 377-5660
Entity
Organization
Contact information
Practice address
925 CRIPPLE CREEK DR STE 500, LAWRENCEVILLE, GA 30043-8504
(678) 377-5660
(770) 454-0123
Mailing address
925 CRIPPLE CREEK DR STE 500, LAWRENCEVILLE, GA 30043-8504
(678) 377-5660
(770) 454-0123
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
3747P1801X
Personal Care Attendant
—
NULL
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
02/21/2019
Last updated
02/21/2019
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