Organization
MOBILE MED, LLC
Active
Parent organization
MED EMPORIUM, LLC
Other names
Breathe Medical
Organization subpart
Yes
Provider details
NPI number
Legal business name
MED EMPORIUM, LLC
Authorized official
MRS. DONNA GROCE (MANAGER)
(864) 675-1330
Entity
Organization
Contact information
Practice address
1247 S PLEASANTBURG DR, GREENVILLE, SC 29605-1344
(864) 675-1330
(866) 835-4281
Mailing address
1247 S PLEASANTBURG DR, GREENVILLE, SC 29605-1344
(864) 675-1330
(866) 835-4281
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
10837
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DE3459
—
SC
Enumeration date
01/08/2010
Last updated
04/17/2017
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