Organization
MEDIQUIP REHABILITATIVE EQUIPMENT & SUPPLIES PLUS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AMY L DANIELLY (MANAGING OWNER)
(478) 742-1300
Entity
Organization
Contact information
Practice address
808 PIO NONO AVE, MACON, GA 31204-3536
(478) 742-1300
(478) 742-1302
Mailing address
808 PIO NONO AVE, MACON, GA 31204-3536
(478) 742-1300
(478) 742-1302
Taxonomy
Speciality
Code
Description
License number
State
332BN1400X
Nursing Facility Supplies (DME)
Primary
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
GA
Other
Enumeration date
01/27/2012
Last updated
01/27/2012
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