Organization
PRIDE CARE MEDICAL EQUIPMENT AND MOBILITY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDALL PENEGAR R.R.T. (OWNER)
(913) 271-5989
Entity
Organization
Contact information
Practice address
11759 W 86TH TER, LENEXA, KS 66214
(913) 271-5989
Mailing address
15618 PEBBLE TER, BASEHOR, KS 66007-9313
(913) 271-5989
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
03/10/2016
Last updated
07/12/2018
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