Organization
SALLENGCO.,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARYANNE SALLENG (OWNER)
(502) 410-1395
Entity
Organization
Contact information
Practice address
2106 PLANTSIDE DR STE 6, LOUISVILLE, KY 40299-1946
(502) 410-1395
Mailing address
2106 PLANTSIDE DR STE 6, LOUISVILLE, KY 40299-1946
(502) 410-1395
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
853423
SECRETARY OF STATE, DEPARTMENT OF REVENUE
KY
Enumeration date
03/26/2013
Last updated
04/22/2013
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