Organization
RESTORATION HEALTHCARE OF COMMERCE LLC
Active
Organization
RESTORATION HEALTHCARE OF COMMERCE LLC
Active
Other names
NORTHRIDGE MEDICAL EQUIPMENT SUPPLY OF COMMERCE
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN N CLAPP (PRESIDENT/CEO)
(706) 335-1000
Entity
Organization
Contact information
Practice address
70 MEDICAL CENTER DR, COMMERCE, GA 30529-1078
(706) 335-1000
(706) 335-4999
Mailing address
641 HOSPITAL RD STE 1, COMMERCE, GA 30529-1155
(706) 335-1000
(706) 335-4999
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
078-665
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000000151A
—
GA
Enumeration date
07/08/2011
Last updated
07/08/2011
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