Organization
MATTRESS GALLERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PAULA GALE BREWER (OWNER/OPERATOR)
(270) 554-7242
Entity
Organization
Contact information
Practice address
3125 LONE OAK RD, SUITE B, PADUCAH, KY 42003-5743
(270) 554-7225
(270) 554-7242
Mailing address
3125 LONE OAK RD, SUITE B, PADUCAH, KY 42003-5743
(270) 554-7225
(270) 554-7242
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
Primary
—
—
Other
Enumeration date
09/28/2010
Last updated
09/28/2010
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