Organization
ELITE MEDICAL SUPPLIES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER GIBBONS RN (SECRETARY/OWNER)
(402) 464-2422
Entity
Organization
Contact information
Practice address
3901 FAULKNER DR, LINCOLN, NE 68516-4738
(402) 464-2422
(402) 464-2922
Mailing address
3901 FAULKNER DR, LINCOLN, NE 68516-4738
(402) 464-2422
(402) 464-2922
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
NOT OBTAINED YET
NE
Other
Enumeration date
06/30/2010
Last updated
06/30/2010
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