Organization
EDGE MEDICAL SUPPLY, LLC
Active
Parent organization
AEROCARE HOLDINGS, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
AEROCARE HOLDINGS, INC.
Authorized official
MR. STEPHEN P. GRIGGS (CEO)
(407) 206-0040
Entity
Organization
Contact information
Practice address
411 E RUSK ST, JACKSONVILLE, TX 75766
(903) 541-0220
(903) 541-0440
Mailing address
3325 BARTLETT BLVD, ORLANDO, FL 32811-6428
(407) 206-0040
(407) 206-0010
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
158127403
—
TX
05
—
158217413
—
TX
Enumeration date
09/25/2006
Last updated
07/25/2018
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