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Organization
LIFE SUPPLY CORPORATION
Active
Organization
LIFE SUPPLY CORPORATION
Active
Other names
Diversified Medical Equipment Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH SMITH (CEO PRESIDEN)
(203) 239-1002
Entity
Organization
Contact information
Practice address
143 MILL ST, LEOMINSTER, MA 01453-3242
(978) 537-8707
(978) 537-9196
Mailing address
280 MOODY ST, LUDLOW, MA 01056-1244
(413) 593-5555
(413) 593-9530
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
MA
Other
Enumeration date
12/13/2006
Last updated
01/24/2022
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