Organization
DME OF YUMA LLC
Active
Parent organization
ADULT AND PEDIATRIC REHABILITATION
Organization subpart
Yes
Provider details
NPI number
Legal business name
ADULT AND PEDIATRIC REHABILITATION
Authorized official
MR. SERGIO I MACIAS P.T. (OWNER/PHYSICAL THERAPIST)
(928) 722-6050
Entity
Organization
Contact information
Practice address
1233 N MAIN STREET, STE. 10, SAN LUIS, AZ 85349
(928) 722-6050
(928) 722-6094
Mailing address
PO BOX 5841, YUMA, AZ 85366-2490
(928) 722-6050
(928) 722-6094
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
4377
AZ
Other
Enumeration date
09/19/2013
Last updated
09/19/2013
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