Organization
PROFESSIONALS CHOICE MEDICAL SUPPLIES AND SPECIAL TRANSPORT
Active
Organization
PROFESSIONALS CHOICE MEDICAL SUPPLIES AND SPECIAL TRANSPORT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LATISHA SHELTON (OWNER)
(541) 508-6313
Entity
Organization
Contact information
Practice address
2017 NE FULL MOON DR, K8, BEND, OR 97701-6340
(541) 508-6313
Mailing address
2017 NE FULL MOON DR, K8, BEND, OR 97701-6340
(541) 508-6313
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BD1200X
Dialysis Equipment & Supplies (DME)
—
—
332BN1400X
Nursing Facility Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
12/20/2013
Last updated
12/20/2013
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