Organization
GREEN WELL MEDICAL SUPPLY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIRSTEN LEIMBACH (OWNER)
(615) 513-1880
Entity
Organization
Contact information
Practice address
9562 HAMPTON RESERVE DR, BRENTWOOD, TN 37027-8491
(615) 513-1880
Mailing address
9562 HAMPTON RESERVE DR, BRENTWOOD, TN 37027-8491
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
01/08/2011
Last updated
01/08/2011
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