Organization
SPECIALIZED OXYGEN SERVICES, LLC
Active
Parent organization
SPECIALIZED OXYGEN SERVICES, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SPECIALIZED OXYGEN SERVICES, LLC
Authorized official
KIMBERLY DENEISE STANDEFER RN, BS (RN/PRESIDENT)
(423) 802-5143
Entity
Organization
Contact information
Practice address
1300 25TH ST NW, SUITE 2, CLEVELAND, TN 37311-3614
(423) 476-7940
Mailing address
PO BOX 965, HIXSON, TN 37343-0965
(423) 847-0031
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
0000000727
TN
Other
Enumeration date
01/31/2008
Last updated
01/09/2009
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