Organization
VICTORY MEDICAL EQUIPMENT, LLC
Active
Parent organization
VICTORY MEDICAL EQUIPMENT, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
VICTORY MEDICAL EQUIPMENT, LLC
Authorized official
JOAN WEEMS RN (OWNER)
(580) 492-4079
Entity
Organization
Contact information
Practice address
104 THOMA DR STE 3, ELGIN, OK 73538-2203
(580) 492-4079
(580) 492-4089
Mailing address
710 E MAIN ST, TISHOMINGO, OK 73460-2350
(580) 371-0340
(580) 371-0342
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
OK
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
OK
332BX2000X
Oxygen Equipment & Supplies (DME)
—
OK
Other
Enumeration date
10/20/2010
Last updated
10/20/2010
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