Organization
PERSONAL LIVING SOLUTIONS LP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIREYA MEDINA (CEO)
(512) 506-8855
Entity
Organization
Contact information
Practice address
700 S BELL BLVD, #F3, CEDAR PARK, TX 78613-3804
(512) 506-8855
(512) 506-8860
Mailing address
100 E WHITESTONE BLVD, #318, CEDAR PARK, TX 78613-6902
(512) 506-8855
(512) 506-8860
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
148405701
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0013003
GERMICIDAL & BEDDING
TX
05
—
148405701
—
TX
01
—
4059980001
MEDICARE PROVIDER NUMBER
TX
Enumeration date
07/27/2005
Last updated
11/11/2009
Update your record
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