Organization
AM-BATH, LLC
Active
Other names
Re-Bath, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LORI LUND (RETAIL DEVELOPMENT MANAGER)
(480) 220-1762
Entity
Organization
Contact information
Practice address
421 W ALAMEDA DR, TEMPE, AZ 85282-2045
(480) 844-2596
(480) 833-7199
Mailing address
421 W ALAMEDA DR, TEMPE, AZ 85282-2045
(480) 844-2596
(480) 833-7199
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
ROC 180929 K-05
AZ
Other
Enumeration date
07/23/2009
Last updated
07/23/2009
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