Organization
SHELAKER ENTERPRISES LLC
Active
Other names
The Mattress Market
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL KYLE SHELBOURNE (OWNER/MANAGING MEMBER)
(270) 408-1540
Entity
Organization
Contact information
Practice address
2856A LONE OAK RD, PADUCAH, KY 42003-8028
(270) 408-1540
(270) 408-1541
Mailing address
2856A LONE OAK RD, PADUCAH, KY 42003-8028
(270) 408-1540
(270) 408-1541
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
KY
Other
Enumeration date
01/18/2013
Last updated
01/18/2013
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