# BRADSHAW HOME MEDICAL EQUIPMENT LLC.

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

## Provider details

- **NPI number:** 1790741569
- **Authorized official:** MR. ROBERT KELLER (OWNER/PRESIDENT)
- **Authorized official phone:** (928) 775-8282

## Contact information

- **Practice address:** 9350 E VALLEY RD, STE C., PRESCOTT VALLEY, AZ 86314-2328
- **Practice address phone:** (928) 775-8282
- **Practice address fax:** (928) 775-8869
- **Mailing address:** 9350 E VALLEY RD, STE C., PRESCOTT VALLEY, AZ 86314-2328
- **Mailing address phone:** (928) 775-8282
- **Mailing address fax:** (928) 775-8869

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332BX2000X | Oxygen Equipment & Supplies (DME) | 20102224 | AZ | Yes |

## Other

- **Enumeration date:** 04/21/2006
- **Last updated:** 01/21/2015