Organization
BRITELL, LLC
Active
Other names
DW AUTO AND HOME MOBILITY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHAWN BRIGHT (AUTHORIZED OFFICIAL)
(573) 449-3859
Entity
Organization
Contact information
Practice address
1208 N GARTH AVE, COLUMBIA, MO 65203-4056
(573) 449-3859
(573) 449-4187
Mailing address
1208 N GARTH AVE, COLUMBIA, MO 65203-4056
(573) 449-3859
(573) 449-4187
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
182845
BLUE CROSS BLUE SHIELD
MO
01
—
61604
HEALTHCARE USA
MO
05
—
622961209
—
MO
Enumeration date
06/17/2006
Last updated
12/14/2011
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