Organization
AMELIA GAYLE LEE
Active
Other names
A Plus Medical Supplies
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMELIA GAYLE LEE (OWNER)
(580) 566-1938
Entity
Organization
Contact information
Practice address
530 HUNTER AVE, BOSWELL, OK 74727-0275
(580) 566-1938
(580) 566-1939
Mailing address
PO BOX 275, 530 HUNTER AVE., BOSWELL, OK 74727-0275
(580) 566-1938
(580) 566-1939
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
OK-1504-XX-O
OK
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
39-S-1120
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200062240A
—
OK
05
—
200114960A
—
OK
Enumeration date
06/13/2006
Last updated
06/13/2008
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