Organization
LIFELINE SCOOTERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIRGIL G WILLIAMS (OWNER)
(903) 839-5311
Entity
Organization
Contact information
Practice address
508-D HWY 110 N., WHITEHOUSE, TX 75791
(903) 839-5311
Mailing address
508-D HWY 110 N., WHITEHOUSE, TX 75791
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
163684702
—
TX
Enumeration date
01/25/2007
Last updated
06/13/2008
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