Organization
KOALA MATTRESS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PENNY J LANG (PRESIDENT, CEO)
(850) 453-0000
Entity
Organization
Contact information
Practice address
3800 W FAIRFIELD DR, PENSACOLA, FL 32505-4849
(850) 453-0000
Mailing address
3800 W FAIRFIELD DR, PENSACOLA, FL 32505-4849
(850) 453-0000
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
RS0700981
FL
Other
Enumeration date
03/23/2009
Last updated
03/23/2009
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