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Organization

GROVE LANE LLC

Active
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Organization

GROVE LANE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DENNIS LANE ESTES (CONTROLLER)
(281) 777-8621
Entity
Organization

Contact information

Practice address
9107 BRECKENRIDGE DR, MAGNOLIA, TX 77354-5742
(281) 777-8621
(888) 757-8009
Mailing address
9107 BRECKENRIDGE DR, MAGNOLIA, TX 77354-5742
(281) 777-8621
(888) 757-8009

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Enumeration date
10/31/2022
Last updated
10/31/2022
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