Organization
ACCESS HOME MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD MANGUM BSN RN (CLINICAL ADMINISTRATOR OWNER)
(435) 755-6599
Entity
Organization
Contact information
Practice address
4300 HARRISON BLVD, SUITE 12, OGDEN, UT 84403-3186
(801) 475-7500
Mailing address
4300 HARRISON BLVD, SUITE 12, OGDEN, UT 84403-3186
(801) 475-7500
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Enumeration date
09/04/2007
Last updated
01/04/2008
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