Organization
ASHLEY MEDICAL SUPPLY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ASHLEY DENISE SAVAGE REGISTERED NURSE (OWNER)
(708) 566-1833
Entity
Organization
Contact information
Practice address
1006B E 162ND ST, SOUTH HOLLAND, IL 60473-2560
(708) 566-1833
(708) 566-1913
Mailing address
1006B E 162ND ST, SOUTH HOLLAND, IL 60473-2560
(708) 566-1833
(708) 566-1913
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
203.001926
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9239261
—
IL
Enumeration date
04/02/2018
Last updated
04/02/2018
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