Organization
BOLTON HEALTHCARE, LLC
Active
Other names
Guardian Angel Durable Medical Equipment
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROY H BOLTON (OWNER)
(903) 723-2355
Entity
Organization
Contact information
Practice address
321 E SPRING ST STE 107B, PALESTINE, TX 75801-2900
(903) 723-2355
(903) 723-1580
Mailing address
PO BOX 841, ELKHART, TX 75839-0841
(903) 723-2355
(903) 723-1580
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0085013
TX
332BC3200X
Customized Equipment (DME)
0085013
TX
332BD1200X
Dialysis Equipment & Supplies (DME)
0085013
TX
332BN1400X
Nursing Facility Supplies (DME)
0085013
TX
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
0085013
TX
332BX2000X
Oxygen Equipment & Supplies (DME)
0085013
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
181024403
—
TX
05
—
197874401
—
TX
Enumeration date
08/04/2008
Last updated
12/14/2010
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