Organization
MILLBOURNE MEDICAL SUPPLY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
XIAOBIN LI (OWNER)
(215) 813-9430
Entity
Organization
Contact information
Practice address
6786 MARKET ST STE 101, UPPER DARBY, PA 19082-2431
(610) 553-7368
(610) 553-7414
Mailing address
6786 MARKET ST STE 101, UPPER DARBY, PA 19082-2431
(610) 553-7368
(610) 553-7414
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BN1400X
Nursing Facility Supplies (DME)
—
—
Other
Enumeration date
07/17/2017
Last updated
10/09/2019
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