Organization
TAKL CORPORATION
Active
Other names
MED PLUS
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LEAH BROOKE KOONTZ (OWNER)
(251) 986-7747
Entity
Organization
Contact information
Practice address
24980 STATE ST, STE 4, ELBERTA, AL 36530-2573
(251) 986-7747
(251) 986-7748
Mailing address
24980 STATE ST, STE 4, ELBERTA, AL 36530-2573
(251) 986-7747
(251) 986-7748
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009964545
—
AL
Enumeration date
05/19/2006
Last updated
09/04/2012
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