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Organization
WESTERN BLESSED LLC
Active
Organization
WESTERN BLESSED LLC
Active
Other names
Western Blessed DME, Western Blessed
Organization subpart
No
Provider details
NPI number
Authorized official
ILONA KIKNADZE BARTON LVN (OWNER)
(210) 905-5106
Entity
Organization
Contact information
Practice address
5900 BALCONES DR STE 4000, AUSTIN, TX 78731-4257
(210) 905-5106
Mailing address
5900 BALCONES DR STE 4000, AUSTIN, TX 78731-4257
(210) 905-5106
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NULL
332BN1400X
Nursing Facility Supplies (DME)
—
NULL
332BX2000X
Oxygen Equipment & Supplies (DME)
—
NULL
Other
Enumeration date
06/25/2020
Last updated
06/28/2020
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